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

State Neurodiagnostics and Pain Managment LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1992968937

State Neurodiagnostics and Pain Managment LLC is a Physical Medicine & Rehabilitation Physician in Pennsauken, New Jersey. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
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

6650 Browning Rd Ste U12
Pennsauken, NJ 08109-1479
Phone: (856) 910-1990
Fax: (609) 587-2277
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1992968937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barry Fass — Owner · (267) 265-6750
NPI enumeratedJuly 9, 2008
Last updated in NPPESDecember 2, 2009
Mailing address111 Colfax Rd, Skillman, NJ 08558

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