# MOUNTAINSIDE PAIN MANAGEMENT PC

> 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:** 1477017929
- **Authorized official:** DR. JOHN WALTON SECOY MD (PRESIDENT OF CORPORATION)
- **Authorized official phone:** (973) 226-1230

## Contact information

- **Practice address:** 185 FAIRFIELD AVE STE 2A, WEST CALDWELL, NJ 07006-6417
- **Practice address phone:** (973) 226-1230
- **Mailing address:** 185 FAIRFIELD AVE STE 2A, WEST CALDWELL, NJ 07006-6417
- **Mailing address phone:** (973) 226-1230
- **Mailing address fax:** (973) 226-1232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2019
- **Last updated:** 04/01/2019