AVALON MEDICAL GROUP LLC NPI 1851123004

NPI Information

  • NPI: 1851123004
  • Provider Name: AVALON MEDICAL GROUP LLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 1135 CLIFTON AVE STE 209
    CLIFTON, NJ
    ZIP 07013
  • Phone: (862) 336-9696

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NPI Details

AVALON MEDICAL GROUP LLC is a pain medicine physical medicine rehabilitation in Clifton, NJ. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. AVALON MEDICAL GROUP LLC NPI is 1851123004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1135 CLIFTON AVE STE 209
CLIFTON, NJ
ZIP 07013-642
Phone: (862) 336-9696

The provider's authorized official is Arthur Kostanian .
The authorized official title is Member/owner and has the following contact phone number (718) 838-0640.

The enumeration date for this NPI number is 8/16/2024 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207X00000XOrthopaedic SurgeryNo
42081P2900XPhysical Medicine & RehabilitationPain MedicineYes
52084N0400XPsychiatry & NeurologyNeurologyNo
6213E00000XPodiatristNo
7246XC2903XSpecialist/Technologist CardiovascularVascular SpecialistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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