Organization
PROFESSIONAL PAIN MANAGEMENT SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVI K VENKATARAMAN MD (CEO)
(973) 779-7361
Entity
Organization
Contact information
Practice address
1060 CLIFTON AVE, CLIFTON, NJ 07013-3638
(973) 779-7361
(973) 779-7385
Mailing address
PO BOX 1258, CLIFTON, NJ 07012-0758
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA06850700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06850700
STATE LICENSE
NJ
Enumeration date
06/24/2010
Last updated
06/24/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us