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PAIN MANAGEMENT & REJUVENATION CLINIC USA
NPI 1043965163
Anesthesiology - Pain Medicine in Jersey City, NJ

Active since February 16, 2022
1209 SUMMIT AVE UNIT 102, JERSEY CITY, NJ 07307(201) 714-4683(201) 742-0084 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pain Management & Rejuvenation Clinic Usa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAIN MANAGEMENT & REJUVENATION CLINIC USA (NPI 1043965163) is a healthcare organization registered as a pain medicine in Jersey City, New Jersey and active in the NPI registry since February 2022. The organization lists Claricio Decastro Peguero, Owner, as its authorized official.

NPPES Registry Identity

NPI1043965163
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePAIN MANAGEMENT & REJUVENATION CLINIC USA
Location Address1209 SUMMIT AVE UNIT 102Jersey City, NJ 07307-3170
Mailing Address154 Orangeburgh RdOld Tappan, NJ 07675-7499 · (201) 714-4683 · Fax (201) 742-0084
Phone(201) 714-4683
Fax(201) 742-0084
Organization SubpartNo
Authorized OfficialClaricio Decastro PegueroOwner · (551) 204-2543
Enumeration DateFebruary 16, 2022
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1043965163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1209 SUMMIT AVE UNIT 102, Jersey City, NJ 07307
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pain Management & Rejuvenation Clinic Usa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pain Management & Rejuvenation Clinic Usa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Claricio Decastro Peguero, M.D.
Pain Management
NPI 1841204211
506 LENOX AVENUE 3RD FLOOR MLK BLDG / PAIN MANAGEMENT CLINIC
New York, NY 10037
(212) 939-1000
✔ PECOS✔ Accepts Medicare6.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pain Management & Rejuvenation Clinic Usa's NPI number?

The NPI number for Pain Management & Rejuvenation Clinic Usa is 1043965163. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Pain Management & Rejuvenation Clinic Usa located?

Pain Management & Rejuvenation Clinic Usa is located at 1209 Summit Ave Unit 102, Jersey City, NJ 07307. The listed phone number is (201) 714-4683.

What is Pain Management & Rejuvenation Clinic Usa's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Pain Management & Rejuvenation Clinic Usa enrolled in Medicare?

Yes. Pain Management & Rejuvenation Clinic Usa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Management & Rejuvenation Clinic Usa?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Pain Management & Rejuvenation Clinic Usa. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pain Management & Rejuvenation Clinic Usa accept?

Health plans from Oscar Health list Pain Management & Rejuvenation Clinic Usa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pain Management & Rejuvenation Clinic Usa was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.