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GARDEN STATE PAIN MANAGEMENT, PA
NPI 1265488902
Anesthesiology - Pain Medicine in Clifton, NJ

Active since May 25, 2006
1033 CLIFTON AVE STE 209, CLIFTON, NJ 07013(973) 473-5752(973) 473-2459 Get Directions Write a Review

NPPES record last updated: October 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Garden State Pain Management, Pa NPPES

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

GARDEN STATE PAIN MANAGEMENT, PA (NPI 1265488902) is a healthcare organization registered as a pain medicine in Clifton, New Jersey and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Elizabeth and lists Todd S. Koppel, President, as its authorized official.

NPPES Registry Identity

NPI1265488902
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGARDEN STATE PAIN MANAGEMENT, PA
Location Address1033 CLIFTON AVE STE 209Clifton, NJ 07013-3525
Mailing Address1033 Clifton Ave Ste 209Clifton, NJ 07013-3525 · (973) 473-5752 · Fax (973) 473-2459
Phone(973) 473-5752
Fax(973) 473-2459
Organization SubpartNo
Authorized OfficialTodd S. KoppelPresident · (973) 473-5752
Enumeration DateMay 25, 2006
Last NPPES UpdateOctober 22, 2023
NPPES CertifiedOctober 22, 2023
✔ NPI 1265488902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · PainTaxonomy 261QP3300X
1033 CLIFTON AVE STE 209, Clifton, NJ 07013
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Secondary Practice Location 1

Location 1240 Williamson St Ste 304Elizabeth, NJ 07202-3672 · Phone (973) 473-5752 · Fax (973) 473-2459

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garden State Pain Management, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Garden State Pain Management, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Todd Koppel, MD
Interventional Pain Management
NPI 1932109170
1033 CLIFTON AVE STE 209
Clifton, NJ 07013
(973) 473-5752
✔ PECOS✔ Accepts MedicareSame address
John Bogojovski, FNP-BC
Nurse Practitioner
NPI 1922877471
99 BEAUVOIR AVENUE
Summit, NJ 07901
(908) 522-2000
✔ PECOS✔ Accepts Medicare14 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 Garden State Pain Management, PA's NPI number?

The NPI number for Garden State Pain Management, PA is 1265488902. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Garden State Pain Management, PA located?

Garden State Pain Management, PA is located at 1033 Clifton Ave Ste 209, Clifton, NJ 07013. The listed phone number is (973) 473-5752.

What is Garden State Pain Management, PA's specialty?

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

Is Garden State Pain Management, PA enrolled in Medicare?

Yes. Garden State Pain Management, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Garden State Pain Management, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Garden State Pain Management, PA, in Interventional Pain Management and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Garden State Pain Management, PA was last updated on October 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.