# NEW JERSEY PAIN CARE CENTER PC

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

## Provider details

- **NPI number:** 1558501601
- **Authorized official:** MS. KATHY IODICE (PRACTICE MANAGER)
- **Authorized official phone:** (973) 400-1716

## Contact information

- **Practice address:** 44 STATE RT 23, STE 15B, RIVERDALE, NJ 07457-1603
- **Practice address phone:** (973) 400-1716
- **Practice address fax:** (973) 400-1631
- **Mailing address:** 44 STATE RT 23, STE 15B, RIVERDALE, NJ 07457-1603
- **Mailing address phone:** (973) 400-1716
- **Mailing address fax:** (973) 400-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 01/28/2014