# GARDEN STATE PAIN MANAGEMENT, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1265488902
- **Authorized official:** TODD S. KOPPEL MD (PRESIDENT)
- **Authorized official phone:** (973) 473-5752

## Contact information

- **Practice address:** 1033 CLIFTON AVE STE 209, CLIFTON, NJ 07013-3525
- **Practice address phone:** (973) 473-5752
- **Practice address fax:** (973) 473-2459
- **Mailing address:** 1033 CLIFTON AVE STE 209, CLIFTON, NJ 07013-3525
- **Mailing address phone:** (973) 473-5752
- **Mailing address fax:** (973) 473-2459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 10/22/2023