Payment is accepted from insurers; however, North Jersey Interventional Pain Center is an out-of-network practice and does NOT accept Medicare and Medicaid at this time.

HIPAA Notice

Notice of Privacy Practices
North Jersey Interventional Pain Center

This Notice describes how medical information about you may be used and disclosed and how you can obtain access to this information.

Please review it carefully.

North Jersey Interventional Pain Center is committed to protecting the privacy of your medical information. This Notice of Privacy Practices describes how we may use and disclose your protected health information (“PHI”) and your rights regarding that information.

Uses and Disclosures of Your Health Information

We may use and disclose your health information for purposes related to treatment, payment, and healthcare operations.

Treatment

We may use and disclose your medical information to provide, coordinate, or manage your healthcare and related services.

Payment

We may use and disclose your information to obtain payment for healthcare services provided to you.

Healthcare Operations

We may use and disclose your information for administrative and operational purposes such as:

  • Quality improvement
  • Staff training
  • Medical review
  • Business management activities

Other Permitted Uses and Disclosures

Federal and state law may permit or require us to disclose your health information in certain situations, including:

  • Public health reporting
  • Compliance with legal proceedings
  • Health oversight activities
  • Law enforcement requests
  • Preventing serious threats to health or safety

We may also disclose information when required by law.

Your Rights Regarding Your Health Information

You have the following rights regarding your medical information:

Right to Access

You may request access to your medical records.

Right to Request Amendments

If you believe information in your medical record is incorrect, you may request a correction.

Right to Request Restrictions

You may request limitations on how we use or disclose your information.

Right to Request Confidential Communications

You may request that we contact you using specific communication methods.

Right to Receive a Copy of This Notice

You have the right to obtain a paper or electronic copy of this Notice.

Our Responsibilities

We are required by law to:

  • Maintain the privacy of your protected health information
  • Provide you with this Notice of Privacy Practices
  • Follow the terms of the notice currently in effect
  • Notify you if a breach of unsecured protected health information occurs

Changes to This Notice

We reserve the right to update this Notice at any time. Updated versions will be posted on our website and available at our office.

Questions or Complaints

If you believe your privacy rights have been violated, you may contact our office.

You also have the right to file a complaint with the U.S. Department of Health and Human Services.

North Jersey Interventional Pain Center
P.O. Box 429
Mountain Lakes, NJ 07046

Phone: 862-222-4629