Provider Demographics
NPI:1861183857
Name:PAIN PHYSICIANS OF NY AND NJ PC
Entity type:Organization
Organization Name:PAIN PHYSICIANS OF NY AND NJ PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELBAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-348-4178
Mailing Address - Street 1:10 AUER CT STE G
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5848
Mailing Address - Country:US
Mailing Address - Phone:732-285-1040
Mailing Address - Fax:908-636-2415
Practice Address - Street 1:10 AUER CT STE G
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5848
Practice Address - Country:US
Practice Address - Phone:917-348-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty