OrganizationActive
Now Pain Clinc PC
NPI 1295019529 · Physical Disabilities Residential Treatment Facility · Palisades Park, NJ
Provider details
- NPI number
- 1295019529
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Sungeun Kim, Phyiscal Therapist
- License
- 40QA01165400 (NJ)
Practice location
21 Grand Ave #502
Palisades Park, NJ 07650
Phone: (201) 941-0993
Fax: (888) 404-1323
Mailing address
21 Grand Ave #502
Palisades Park, NJ 07650
Registry dates
- Enumerated
- 2011-10-05
- Last updated
- 2017-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.