# PHYSICAL MEDICINE AND REHABILITATION SERVICES

> 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
- **Parent organization:** PAIN AND DISABILITY INSTITUTE, P.C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750628160
- **Legal business name:** PAIN AND DISABILITY INSTITUTE, P.C
- **Authorized official:** DR. MONICA MEHTA MD (MEDICAL DOCTOR)
- **Authorized official phone:** (201) 656-4324

## Contact information

- **Practice address:** 191 PALISADE AVE, JERSEY CITY, NJ 07306-1112
- **Practice address phone:** (201) 656-4324
- **Practice address fax:** (201) 656-4019
- **Mailing address:** 191 PALISADE AVE, JERSEY CITY, NJ 07306-1112
- **Mailing address phone:** (201) 656-4324
- **Mailing address fax:** (201) 656-4019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2080P0008X | Pediatric Neurodevelopmental Disabilities Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084S0010X | Sports Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0010X | Sports Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084V0102X | Vascular Neurology Physician | — | NULL | — |
| 2084V0102X | Vascular Neurology Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | — | NULL | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | — | — | — |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 01/07/2013