# NJ NAPA PAIN MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1528695517
- **Authorized official:** SARAH BERNOCCO (SENIOR CREDENTIALING SPECIALIST)
- **Authorized official phone:** (516) 945-3163

## Contact information

- **Practice address:** 703 MAIN ST, PATERSON, NJ 07503-2621
- **Practice address phone:** (973) 754-2000
- **Mailing address:** 68 S SERVICE RD STE 350, MELVILLE, NY 11747-2358
- **Mailing address phone:** (516) 945-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2020
- **Last updated:** 03/27/2020