Garden State Pain Management, PA
NPI 1265488902ActiveOrganization· Anesthesiology, Pain Medicine· Clifton, NJ
Anesthesiology, Pain Medicine in Clifton, New Jersey, registered in NPPES in May 2006. The authorized official on file is Todd S. Koppel, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1265488902 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 25, 2006 |
| Last updated in NPPES | Oct 22, 2023 |
| Certified by provider | Oct 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology, Pain Medicine Primary | 207LP2900X | — | — |
| Clinic/Center, Pain | 261QP3300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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