# SUBINPRARA MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1598220568
- **Authorized official:** DR. BINOD SHAH (PRESIDENT)
- **Authorized official phone:** (201) 885-3722

## Contact information

- **Practice address:** 577 CHESTNUT RIDGE RD. \#6, WOODCLIFF LAKE, NJ 07677-8400
- **Practice address phone:** (914) 572-1600
- **Mailing address:** 577 CHESTNUT RIDGE RD. \#6, WOODCLIFF LAKE, NJ 07677-8400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 06/06/2025