Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pain and Rehabilitation Medicine LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1417193285

Pain and Rehabilitation Medicine LLC provides Physical Medicine & Rehabilitation Physician services in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2008.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

223 N Van Dien Ave
Ridgewood, NJ 07450-2726 Not confirmed with CMS for 15 years — call before visiting
Phone: (201) 690-6122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence MA07973200 (NJ)

Record details

NPI number1417193285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beena Balakrishnan — Owner · (201) 690-6122
NPI enumeratedDecember 30, 2008
Last updated in NPPESDecember 10, 2010
Mailing addressPo Box 422, Hillsdale, NJ 07642-0422

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