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IVY LEAGUE PAIN MANAGEMENT CENTER
NPI 1669870689
Anesthesiology - Pain Medicine in Boonton, NJ

Active since December 08, 2014
9 CRESTFIELD RD, BOONTON, NJ 07005(908) 255-6200(973) 794-4261 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivy League Pain Management Center NPPES

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

IVY LEAGUE PAIN MANAGEMENT CENTER (NPI 1669870689) is a healthcare organization registered as a pain medicine in Boonton, New Jersey and active in the NPI registry since December 2014. The organization lists Jorge G. Mendez, President, as its authorized official.

NPPES Registry Identity

NPI1669870689
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameJORGE G. MENDEZ,MD. LLC
Location Address9 CRESTFIELD RDBoonton, NJ 07005-9007
Mailing Address9 Crestfield RdBoonton, NJ 07005-9007 · (908) 255-6200 · Fax (973) 794-4261
Phone(908) 255-6200
Fax(973) 794-4261
Organization SubpartNo
Authorized OfficialJorge G. MendezPresident · (908) 255-6200
Enumeration DateDecember 8, 2014
Last NPPES UpdateMarch 13, 2019
✔ NPI 1669870689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in NJ · 25MA08542000
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 ListedAnesthesiologyTaxonomy 207L00000X · License 25MA08542000 (NJ)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
9 CRESTFIELD RD, Boonton, NJ 07005
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Other Names 1

Doing Business AsIvy League Pain Management Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy League Pain Management Center 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 Ivy League Pain Management Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jorge Mendez, MD
Pain Management
NPI 1356463988
9 CRESTFIELD RD
Boonton, NJ 07005
(908) 255-6200
✔ PECOS✔ Accepts Medicare0.1 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 Jorge G. Mendez,md. LLC's NPI number?

The NPI number for Jorge G. Mendez,md. LLC is 1669870689. It was assigned to this organization in the NPPES registry on December 8, 2014. The provider is doing business as Ivy League Pain Management Center.

Where is Jorge G. Mendez,md. LLC located?

Jorge G. Mendez,md. LLC is located at 9 Crestfield Rd, Boonton, NJ 07005. The listed phone number is (908) 255-6200.

What is Jorge G. Mendez,md. LLC's specialty?

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

Is Jorge G. Mendez,md. LLC enrolled in Medicare?

Yes. Jorge G. Mendez,md. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jorge G. Mendez,md. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Jorge G. Mendez,md. LLC. 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.

When was this NPI record last updated?

The NPPES record for Jorge G. Mendez,md. LLC was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.