Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

814 UNDERCLIFF MEDICAL PC
NPI 1598495442
Pain Medicine - Pain Medicine in Edgewater, NJ

Active since June 14, 2022
814 UNDERCLIFF AVE, EDGEWATER, NJ 07020(973) 954-4055 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About 814 Undercliff Medical Pc NPPES

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

814 UNDERCLIFF MEDICAL PC (NPI 1598495442) is a healthcare organization registered as a pain medicine in Edgewater, New Jersey and active in the NPI registry since June 2022. The organization lists Ilana Etelzon, President, as its authorized official.

NPPES Registry Identity

NPI1598495442
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business Name814 UNDERCLIFF MEDICAL PC
Location Address814 UNDERCLIFF AVEEdgewater, NJ 07020-1521
Mailing Address814 Undercliff AveEdgewater, NJ 07020-1521 · (646) 644-2481
Organization SubpartNo
Authorized OfficialIlana EtelzonPresident · (646) 644-2481
Enumeration DateJune 14, 2022
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1598495442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
814 UNDERCLIFF AVE, Edgewater, NJ 07020

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

814 Undercliff Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to 814 Undercliff Medical PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1033863998
506 6TH ST
Brooklyn, NY 11215
(718) 780-3000
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1134949886
35 WEST END AVE STE 1
Brooklyn, NY 11235
(718) 682-3686
✔ PECOS✔ Accepts Medicare18 mi
Physical Medicine and Rehabilitation
NPI 1730471814
37 W END AVE PH 1
Brooklyn, NY 11235
(973) 954-4055
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1063027365
175 SUNSET AVE
Staten Island, NY 10314
(718) 828-2666
✔ PECOS✔ Accepts Medicare19 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 814 Undercliff Medical PC's NPI number?

The NPI number for 814 Undercliff Medical PC is 1598495442. It was assigned to this organization in the NPPES registry on June 14, 2022.

Where is 814 Undercliff Medical PC located?

814 Undercliff Medical PC is located at 814 Undercliff Ave, Edgewater, NJ 07020. The listed phone number is (973) 954-4055.

What is 814 Undercliff Medical PC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is 814 Undercliff Medical PC enrolled in Medicare?

Yes. 814 Undercliff Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 814 Undercliff Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to 814 Undercliff Medical PC. 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. The largest specialties are Nurse Practitioner (3) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 814 Undercliff Medical PC was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.