# AMBULATORY PAIN AND DISABILITY MANAGEMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093311276
- **Authorized official:** MONICA MEHTA MD (ADMINISTRATOR)
- **Authorized official phone:** (201) 653-5044

## Contact information

- **Practice address:** AMBULATORY PAIN AND DISABILITY MANAGEMENT CENTER LLC, 191 PALISADE AVENUE, JERSEY CITY, NJ 07306-0730
- **Practice address phone:** (201) 656-4324
- **Mailing address:** AMBULATORY PAIN AND DISABILITY MANAGEMENT CENTER LLC, 191 PALISADE AVENUE, JERSEY CITY, NJ 07306
- **Mailing address phone:** (201) 656-4324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 10/21/2021