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SOOD MEDICAL PRACTICE LLC NPI 1881053676


NPI Information

NPI: 1881053676
Provider Name: SOOD MEDICAL PRACTICE, LLC

Former Legal Business Name: INTERVENTIONAL PAIN CONSULTANTS OF NORTH JERSEY, LLC

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 33D2146127

Address:
50 MOUNT PROSPECT AVE STE 209
CLIFTON, NJ
ZIP 07013
Phone: (862) 238-8250
Get Directions

SOOD MEDICAL PRACTICE, LLC is an interventional pain medicine pain medicine in Clifton, NJ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SOOD MEDICAL PRACTICE, LLC NPI is 1881053676. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Interventional Pain Consultants Of North Jersey, Llc.

The provider's business location address is:

50 MOUNT PROSPECT AVE STE 209
CLIFTON, NJ
ZIP 07013-900
Phone: (862) 238-8250
Fax: (862) 238-8255

The provider's authorized official is Sood Rahul .
The authorized official title is President and has the following contact phone number (732) 261-0207.

The CLIA number assigned to this NPI record is 33D2146127 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 6/16/2018.


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
1208VP0014XPain MedicineInterventional Pain Medicine25MB08610000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
125MB08610000OTHERNEW JERSEYLICENSE

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: 5/5/2024

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