Organization
THE PAIN, SPINE AND SPORTS INSTITUTE LLC
Active
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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