Provider Demographics
NPI:1093864571
Name:CLIFTON PAIN ASSOCIATE, LLC
Entity type:Organization
Organization Name:CLIFTON PAIN ASSOCIATE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BINOD
Authorized Official - Middle Name:
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-777-5444
Mailing Address - Street 1:1117 ROUTE 46 EAST
Mailing Address - Street 2:206
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:973-777-5444
Mailing Address - Fax:973-777-0304
Practice Address - Street 1:1117 ROUTE 46 EAST
Practice Address - Street 2:206
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:973-777-5444
Practice Address - Fax:973-777-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE39075Medicare UPIN
NJ459771C18Medicare ID - Type Unspecified
NJD06107Medicare UPIN
NJE54426Medicare UPIN
NJD18456Medicare UPIN
NJE60563Medicare UPIN
NJ578569C18Medicare ID - Type Unspecified
NJ054868C18Medicare ID - Type Unspecified
NJ047850C18Medicare ID - Type Unspecified