| New Jersey Headache Institute Llc | |
|
1810 Park Ave South Plainfield NJ 07080-5522 | |
| (908) 226-1810 | |
| (908) 226-1833 |
| Full Name | New Jersey Headache Institute Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1810 Park Ave, South Plainfield, New Jersey |
| Authorized Official Name and Position | Payman Sadeghi (DIRECTOR) |
| Authorized Official Contact | 9082261810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Headache Institute Llc 1810 Park Ave South Plainfield NJ 07080-5522 Ph: (908) 226-1810 | New Jersey Headache Institute Llc 1810 Park Ave South Plainfield NJ 07080-5522 Ph: (908) 226-1810 |
| NPI Number | 1588087266 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 01/30/2014 |
| Medicare PECOS PAC ID | 0648586222 |
|---|---|
| Medicare Enrollment ID | O20150827000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588087266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Sima Solaimanzadeh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629203401 PECOS PAC ID: 9638210099 Enrollment ID: I20100107000008 |
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