Provider Demographics
NPI:1205248135
Name:PRIMARY PAIN CONSULTANTS LLC
Entity type:Organization
Organization Name:PRIMARY PAIN CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-864-7725
Mailing Address - Street 1:PO BOX 6608
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-0608
Mailing Address - Country:US
Mailing Address - Phone:908-864-7725
Mailing Address - Fax:
Practice Address - Street 1:27 MONROE ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3043
Practice Address - Country:US
Practice Address - Phone:908-864-7725
Practice Address - Fax:888-874-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ357075Medicare PIN