Organization
THE PAIN, SPINE AND SPORTS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN ALI MD (CEO)
(201) 912-9233
Entity
Organization
Contact information
Practice address
1144 E RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3941
(201) 336-0188
(201) 336-0141
Mailing address
1033 US HIGHWAY 46 STE A-208, CLIFTON, NJ 07013-2473
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09668500
LICENSE NUMBER
NJ
Enumeration date
02/01/2019
Last updated
02/26/2026
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