Advanced Pain Management & Rehabilitation – Interventional Pain Medicine Physician, NPI 1801059019
Interventional Pain Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Advanced Pain Management & Rehabilitation
44 Route 27 Ste 200D
Edison, NJ 088203978
Phone: (732) 414-6499
Fax: (844) 890-8439
Type: Location
2446 Church Rd Ste 2E
Toms River, NJ 087538182
Phone: (732) 414-6499
Fax: (844) 890-8439
Type: Location
20 Cherry Tree Farm Rd Ste 101
Middletown, NJ 077482251
Phone: (732) 414-6499
Fax: (844) 890-8439
Type: Location
944 Westside Ave
Jersey City, NJ 073066515
Phone: (732) 414-6499
Fax: (844) 890-8439
Type: Location
34, Saddlebrook Drive, Colts Neck Estates, Gloucester County, New Jersey, 08080, United States
SUITE 317
COLTS NECK, NJ 07722
Phone: (732) 414-6499
Fax: (732) 510-0616
Type: Mailing
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: 2009-12-17
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (319 days ago).
Enrollment records
1
Earliest due date
2025-07-31
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 |
|---|---|---|---|---|
| O20091217000021 | O | Clinic/Group Practice | NJ | 2025-07-31 |
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 08820)
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