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

Pain Management & Rejuvenation Clinic USA

Organization Pain Medicine (Anesthesiology) Physician · NPI 1043965163

Pain Management & Rejuvenation Clinic USA is a Pain Medicine (Anesthesiology) Physician in Jersey City, New Jersey. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1209 Summit Ave Unit 102
Jersey City, NJ 07307-3170
Phone: (201) 714-4683
Fax: (201) 742-0084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X

Record details

NPI number1043965163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claricio Peguero — Owner · (551) 204-2543
NPI enumeratedFebruary 16, 2022
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address154 Orangeburgh Rd, Old Tappan, NJ 07675-7499

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