MEDICARE: NORTH ATLANTIC PAIN AND REHAB ASSOCIATES, LLC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1659413540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH ATLANTIC PAIN AND REHAB ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	799 BLOOMFIELD AVE
Second Line	:	SUITE 303
City	:	VERONA
State	:	NJ
Zip	:	07044-1367
Country	:	US
Telephone Number	:	973-857-7800
Fax Number	:	973-857-7822

Provider Business Practice Location Address
First Line	:	799 BLOOMFIELD AVE
Second Line	:	SUITE 303
City	:	VERONA
State	:	NJ
Zip	:	07044-1367
Country	:	US
Telephone Number	:	973-857-7800
Fax Number	:	973-857-7822

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RICHARD T BACH
Credential	:	MD
Telephone Number	:	973-857-7800

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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