Pure Anti Aging Medical Center - Medicare in Paramus, NJ

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Pure Anti Aging Medical Center is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" provider in Paramus, New Jersey. Their current practice location is 18 W Ridgewood Ave Fl 2, Paramus, New Jersey. You can reach out to their office (for appointments etc.) via phone at (201) 444-0020.

Pure Anti Aging Medical Center is licensed to practice in New Jersey (license number 25MA07099100) and it also participates in the medicare program. Pure Anti Aging Medical Center is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952425621.

Contact Information

Pure Anti Aging Medical Center
18 W Ridgewood Ave Fl 2,
Paramus, NJ 07652-2333
(201) 444-0020
(201) 444-0026

Map and Direction




Healthcare Provider's Profile

Full NamePure Anti Aging Medical Center
TypeFacility
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location18 W Ridgewood Ave Fl 2, Paramus, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952425621
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 04/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244486330
  • Enrollment ID: O20120806000235

Medical Identifiers

Medical identifiers for Pure Anti Aging Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952425621NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111NR0400XChiropractor - Rehabilitation 25MA07099100 (New Jersey)Secondary
207R00000XInternal Medicine 25MA07099100 (New Jersey)Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 25MA07099100 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pure Anti Aging Medical Center acts as a billing entity for following providers:
Provider NameTatiana Sharahy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598889248
PECOS PAC ID: 4385537976
Enrollment ID: I20040206000270
Provider NameEric R Franchino
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1548495807
PECOS PAC ID: 0244386472
Enrollment ID: I20090914000235
Provider NameDmitry Umanski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609126556
PECOS PAC ID: 7416192976
Enrollment ID: I20130404000192
Provider NameBeth Ann Svorinic
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548669153
PECOS PAC ID: 6204150857
Enrollment ID: I20150130001058
Provider NameJohn Francis Ellis
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1255763306
PECOS PAC ID: 3173750551
Enrollment ID: I20150709000289
Provider NameJeffrey Anthony Pammer
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1609259399
PECOS PAC ID: 5991018152
Enrollment ID: I20150716001369
Provider NameChelsea R Klinger
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1851759385
PECOS PAC ID: 3971892506
Enrollment ID: I20160520000157
Provider NameMarina Lehman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720126014
PECOS PAC ID: 0042317802
Enrollment ID: I20170502001187
Provider NameKrystle A Castillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801244173
PECOS PAC ID: 7517235583
Enrollment ID: I20170615000640
Provider NameStephanie Y. Kim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164074746
PECOS PAC ID: 9234460833
Enrollment ID: I20191014000550
Provider NameRobert Dc Fennimore
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1235736992
PECOS PAC ID: 8729492988
Enrollment ID: I20210128002775
Provider NameLekha Somashekar
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1316626500
PECOS PAC ID: 0446613376
Enrollment ID: I20230825000588

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pure Anti Aging Medical Center is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pure Anti Aging Medical Center
1144 E Ridgewood Ave,
Ridgewood, NJ 07450-3915

Ph: (201) 444-0020		Pure Anti Aging Medical Center
18 W Ridgewood Ave Fl 2,
Paramus, NJ 07652-2333

Ph: (201) 444-0020

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.