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GARDEN STATE SPORTS & PAIN MEDICINE, LLC
NPI 1821580747
Anesthesiology - Pain Medicine in Clifton, NJ

Active since June 06, 2018
721 CLIFTON AVE STE 2D, CLIFTON, NJ 07013(914) 666-8866 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garden State Sports & Pain Medicine, Llc NPPES

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

GARDEN STATE SPORTS & PAIN MEDICINE, LLC (NPI 1821580747), doing business as Premier Pain And Spine Solutions, Llc, is a healthcare organization registered as a pain medicine in Clifton, New Jersey and active in the NPI registry since June 2018. The organization lists Todd S. Koppel, President, as its authorized official.

NPPES Registry Identity

NPI1821580747
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGARDEN STATE SPORTS & PAIN MEDICINE, LLC
Location Address721 CLIFTON AVE STE 2DClifton, NJ 07013-1880
Mailing Address480 Bedford Rd Ste 4202Chappaqua, NY 10514-1716 · (914) 666-8866
Phone(914) 666-8866
Organization SubpartNo
Authorized OfficialTodd S. KoppelPresident · (914) 666-8866
Enumeration DateJune 6, 2018
Last NPPES UpdateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1821580747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
721 CLIFTON AVE STE 2D, Clifton, NJ 07013
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Other Names 1

Former Legal Business NamePremier Pain And Spine Solutions, Llc

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FK MEDICAL CONSULTS LLC
Internal Medicine
721 CLIFTON AVE STE 2D
CLIFTON, NJ 07013
Passaic County (917) 797-9523

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 Sports & Pain Medicine, LLC's NPI number?

The NPI number for Garden State Sports & Pain Medicine, LLC is 1821580747. It was assigned to this organization in the NPPES registry on June 6, 2018. The provider was formerly known as Premier Pain And Spine Solutions, LLC.

Where is Garden State Sports & Pain Medicine, LLC located?

Garden State Sports & Pain Medicine, LLC is located at 721 Clifton Ave Ste 2D, Clifton, NJ 07013. The listed phone number is (914) 666-8866.

What is Garden State Sports & Pain Medicine, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Garden State Sports & Pain Medicine, LLC was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.