THE PAINLESS CENTER LLC – Pain Medicine (Anesthesiology) Physician, NPI 1306388764
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for THE PAINLESS CENTER LLC
100 OLD PALISADE RD APT 2808
FORT LEE, NJ 070247023
Phone: (973) 718-0211
Type: Mailing
1608, Lemoine Avenue, Fort Lee, Bergen County, New Jersey, 07024, United States
STE 201
FORT LEE, NJ 070245622
Phone: (973) 718-0211
Type: Location
2 DEAN DR UNIT 1N
TENAFLY, NJ 076702765
Phone: (201) 592-7246
Fax: (201) 540-9978
Type: Mailing
1037 Route 46 Ste 201
Clifton, NJ 070132459
Phone: (201) 592-7246
Fax: (201) 540-9978
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (774 days ago).
Enrollment records
1
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170512000888 | O | Clinic/Group Practice | NJ | 2024-04-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07024)
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