# INTERVENTIONAL PAIN MANAGEMENT & REHAB. PC.

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

## Provider details

- **NPI number:** 1922338615
- **Authorized official:** NASAR M SHAHID MD (OWNER)
- **Authorized official phone:** (201) 907-5094

## Contact information

- **Practice address:** 179 CEDAR LN STE F, TEANECK, NJ 07666-4304
- **Practice address phone:** (201) 907-5094
- **Practice address fax:** (201) 907-0031
- **Mailing address:** 179 CEDAR LN STE F, TEANECK, NJ 07666-4304
- **Mailing address phone:** (201) 907-5094
- **Mailing address fax:** (201) 907-0031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 38MC00468200 | NJ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 216092 | NY | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA07393900 | NJ | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | 216092 | NY | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | 25MA070393900 | NJ | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 216092 | NY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA07393900 | NJ | — |

## Other

- **Enumeration date:** 01/04/2010
- **Last updated:** 06/13/2026