PREMIER PAIN MANAGEMENT LLC
NPI 1497291512
Pain Medicine - Interventional Pain Medicine in Clifton, NJ

NPI Status: Active since January 12, 2017

Contact Information

1060 CLIFTON AVE
CLIFTON, NJ
ZIP 07013
Phone: (973) 779-7246
Fax: (973) 779-8989

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pain Medicine
Interventional Pain Medicine

About PREMIER PAIN MANAGEMENT LLC

This page provides the complete NPI Profile along with additional information for Premier Pain Management Llc, a provider established in Clifton, New Jersey operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1497291512 assigned on January 2017. The practitioner's primary taxonomy code is 208VP0014X with license number 25MA68664 (NJ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Shanti S Eppanapally M.d. (Owner)

NPI: 1497291512
Provider Name: PREMIER PAIN MANAGEMENT LLC
Entity Type: Organization
Location Address: 1060 CLIFTON AVE CLIFTON, NJ 07013
Location Phone: (973) 779-7246
Location Fax: (973) 779-8989
Mailing Address: PO BOX 4224 CLIFTON, NJ 07012
Mailing Phone: (973) 779-7246
Mailing Fax: (973) 779-8989
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-12-2017
Last Update Date: 01-12-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pain Medicine Interventional Pain Medicine
Taxonomy Code: 208VP0014X
Type: Allopathic & Osteopathic Physicians
License No.: 25MA68664
License State: NJ
Taxonomy Description: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. SHANTI S EPPANAPALLY M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (972) 941-2961

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	9	7	2	9	1	5	1	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	18	7	4	9	2	5	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 9 + 2 + 5 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1497291512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.