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PURE ANTI AGING MEDICAL CENTER
NPI 1952425621
Physical Medicine & Rehabilitation - Pain Medicine in Paramus, NJ

Active since March 19, 2007
18 W RIDGEWOOD AVE FL 2, PARAMUS, NJ 07652(201) 444-0020(201) 444-0026 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pure Anti Aging Medical Center NPPES

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

PURE ANTI AGING MEDICAL CENTER (NPI 1952425621) is a healthcare organization registered as a pain medicine in Paramus, New Jersey and active in the NPI registry since March 2007. The organization lists Tatiana Sharahy, Owner, as its authorized official.

NPPES Registry Identity

NPI1952425621
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameINNOVATIVE SPINE CARE, LLC
Location Address18 W RIDGEWOOD AVE FL 2Paramus, NJ 07652-2333
Mailing Address1144 E Ridgewood AveRidgewood, NJ 07450-3915 · (201) 444-0020 · Fax (201) 444-0026
Phone(201) 444-0020
Fax(201) 444-0026
Organization SubpartNo
Authorized OfficialTatiana SharahyOwner · (201) 444-0020
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1952425621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NJ · 25MA07099100
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 25MA07099100 (NJ)
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07099100 (NJ)
18 W RIDGEWOOD AVE FL 2, Paramus, NJ 07652
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Other Names 1

Doing Business AsPure Anti Aging Medical 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

Other Providers at the Same Location NPPES

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

NAWAR AL OBAIDI MD
Internal Medicine
18 W RIDGEWOOD AVE FL 2
PARAMUS, NJ 07652
Bergen County (551) 333-3686

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 Innovative Spine Care, LLC's NPI number?

The NPI number for Innovative Spine Care, LLC is 1952425621. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Pure Anti Aging Medical Center.

Where is Innovative Spine Care, LLC located?

Innovative Spine Care, LLC is located at 18 W Ridgewood Ave Fl 2, Paramus, NJ 07652. The listed phone number is (201) 444-0020.

What is Innovative Spine Care, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Innovative Spine Care, LLC was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.