# PAIN AND NEUROPATHY CENTER OF PA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAIN AND NEUROPATHY CENTER OF PA PC
- **Other names:** Neuropathy and Back Institute of New York
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053749416
- **Legal business name:** PAIN AND NEUROPATHY CENTER OF PA PC
- **Authorized official:** DR. AJAY KUMAR M.D. (PRESIDENT)
- **Authorized official phone:** (973) 917-3800

## Contact information

- **Practice address:** 181 JERSEY AVE, PORT JERVIS, NY 12771-2609
- **Practice address phone:** (973) 917-3800
- **Practice address fax:** (732) 228-7427
- **Mailing address:** 181 JERSEY AVE, PORT JERVIS, NY 12771-2609
- **Mailing address phone:** (973) 917-3800
- **Mailing address fax:** (732) 228-7427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA07877200 | NJ | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD423585 | PA | — |

## Other

- **Enumeration date:** 10/23/2013
- **Last updated:** 02/12/2014