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: August 09, 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
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

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

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.

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 21 months 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.