Healthcare Provider Details

I. General information

NPI: 1306388764
Provider Name (Legal Business Name): THE PAINLESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2016
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 DEAN DR UNIT 1N
TENAFLY NJ
07670-2765
US

IV. Provider business mailing address

2 DEAN DR UNIT 1N
TENAFLY NJ
07670-2765
US

V. Phone/Fax

Practice location:
  • Phone: 201-592-7246
  • Fax: 201-540-9978
Mailing address:
  • Phone: 201-592-7246
  • Fax: 201-540-9978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON CHI-SHIN CHIU
Title or Position: OWNER
Credential: M.D.
Phone: 201-592-7246