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

Pain Management Institute PA

Organization Anesthesiology Physician · NPI 1780989087

Pain Management Institute PA is an Anesthesiology Physician in Elmwood Park, New Jersey. Works from 2 locations. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

619 River Dr
Elmwood Park, NJ 07407-1317
Phone: (614) 553-0964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Prospect Ave, West Orange, NJ 07052 — (973) 325-6716

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1780989087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Tendler — President · (800) 738-1659
NPI enumeratedJanuary 18, 2011
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing addressPo Box 986520, Dept 160, Boston, MA 02298-6520

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