Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fair Lawn Pain Management LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1366826778

Fair Lawn Pain Management LLC is a Pain Medicine (Anesthesiology) Physician in Fair Lawn, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28-06 Broadway
Fair Lawn, NJ 07410-3913
Phone: (201) 475-8940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 25MA08578900 (NJ)

Record details

NPI number1366826778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vijay Gupta — President · (973) 777-5444
NPI enumeratedJuly 15, 2015
Last updated in NPPESJuly 15, 2015
Mailing address1117 Route 46, Suite 201, Clifton, NJ 07013-2449

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