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PAIN ASSOCIATES OF BERGEN COUNTY LLC
NPI 1720592942
Pain Medicine - Interventional Pain Medicine in Hackensack, NJ

Active since November 27, 2017
294 STATE STREET, SUITE 2, HACKENSACK, NJ 07601(201) 525-0002 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 10, 2018, Nov 27, 2017 (2 updates tracked since 2017).

About Pain Associates Of Bergen County Llc NPPES

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

PAIN ASSOCIATES OF BERGEN COUNTY LLC (NPI 1720592942) is a healthcare organization registered as an interventional pain medicine in Hackensack, New Jersey and active in the NPI registry since November 2017. The organization lists Samyadev Datta, Owner, as its authorized official.

NPPES Registry Identity

NPI1720592942
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN ASSOCIATES OF BERGEN COUNTY LLC
Location Address294 STATE STREET, SUITE 2Hackensack, NJ 07601
Mailing Address294 State St, Suite 2Hackensack, NJ 07601 · (201) 488-7246
Phone(201) 525-0002
Organization SubpartNo
Authorized OfficialSamyadev DattaOwner · (201) 525-0002
Enumeration DateNovember 27, 2017
Last NPPES UpdateMay 10, 20182 updates tracked since enumeration
✔ NPI 1720592942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in NJ · 25MA07161100
Definition
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.
294 STATE STREET, Hackensack, NJ 07601
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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 SINGLE 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)

Pain Associates Of Bergen County Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pain Associates Of Bergen County LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Samyadev Datta, MD
Pain Management
NPI 1497778005
294-298 STATE ST STE 1
Hackensack, NJ 07601
(201) 488-7246
✔ PECOS✔ Accepts MedicareSame address
Janine Marti, NP-C
Nurse Practitioner
NPI 1568918852
294-298 STATE ST STE 1
Hackensack, NJ 07601
(201) 488-7246
✔ PECOS✔ Accepts MedicareSame address
Olajomoke Olusanya, NP
Nurse Practitioner
NPI 1659962033
650 FROM RD STE 506
Paramus, NJ 07652
(551) 996-8100
✔ PECOS5.4 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 Pain Associates Of Bergen County LLC's NPI number?

The NPI number for Pain Associates Of Bergen County LLC is 1720592942. It was assigned to this organization in the NPPES registry on November 27, 2017.

Where is Pain Associates Of Bergen County LLC located?

Pain Associates Of Bergen County LLC is located at 294 State Street Suite 2, Hackensack, NJ 07601. The listed phone number is (201) 525-0002.

What is Pain Associates Of Bergen County LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Pain Associates Of Bergen County LLC enrolled in Medicare?

Yes. Pain Associates Of Bergen County LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Associates Of Bergen County LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pain Associates Of Bergen County LLC, in Nurse Practitioner and Pain Management. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pain Associates Of Bergen County LLC was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.