MEDICARE: DOWNTOWN PAIN MANAGEMENT, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1619534286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOWNTOWN PAIN MANAGEMENT, PC

Provider Business Mailing Address
First Line	:	80 RIVER ST STE 305
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5619
Country	:	US
Telephone Number	:	201-656-7246
Fax Number	:	866-378-0373

Provider Business Practice Location Address
First Line	:	80 RIVER ST STE 305
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5619
Country	:	US
Telephone Number	:	201-656-7246
Fax Number	:	866-378-0373

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	RON SIMON BEN-MEIR
Credential	:	DO
Telephone Number	:	201-656-7246

Provider Enumeration Date	:	05/20/2019
Last Update Date	:	02/15/2022

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