# PREMIER PAIN AND REHABILITATION CENTER OF NJ PC

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

## Provider details

- **NPI number:** 1912456831
- **Authorized official:** DR. AJAY KUMAR M.D. (MD)
- **Authorized official phone:** (973) 917-3800

## Contact information

- **Practice address:** 7 RIDGEDALE AVE STE 204, STE 204, CEDAR KNOLLS, NJ 07927-1120
- **Practice address phone:** (973) 917-3800
- **Practice address fax:** (973) 206-2236
- **Mailing address:** 10 SUNRISE DR, PARSIPPANY, NJ 07054-4367
- **Mailing address phone:** (973) 917-3800
- **Mailing address fax:** (973) 206-2236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2016
- **Last updated:** 10/04/2016
