ADVANCED SPINE AND PAIN, LLC (NPI# 1104352335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104352335 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE AND PAIN, LLC |
| Other Organization Name | RELIEVUS |
| Practice Address |
2 8th St Hammonton NJ 08037-3347 |
| Mailing Address |
375 E Elm St Suite 110 Conshohocken PA 19428-1973 |
| Practice Telephone | 8889852727 |
| Practice Fax Number | 4842127641 |
| Mailing Telephone | 9083709104 |
| Mailing Fax Number | 4842127641 |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | NIRALI PATEL (BUSINESS MANAGER) |
| Authorized Official Telephone | 9083709104 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA09802600 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Relievus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885116 | Advanced Spine and Pain, LLC | Pain Medicine | 3100 Hingston Ave Ste 104, Egg Harbor Township, NJ 08234-4409 | 2020-03-03 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1407002124 | Advanced Spine and Pain, LLC | Pain Medicine | 1030 North Kings Highway, Suite 200, Cherry Hill, NJ 08034-1907 | 2008-08-13 |
| 1912532680 | Advanced Spine and Pain, LLC | Pain Medicine | 2760 Century Blvd, Wyomissing, PA 19610-3359 | 2020-03-03 |
| 1902358914 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 750 Mantua Pike, Woodbury, NJ 08097-1142 | 2016-10-26 |
| 1851764476 | Advanced Spine and Pain, LLC | Psychiatry & Neurology | 2100 Keystone Ave, Suite 407, Drexel Hill, PA 19026-1129 | 2015-11-04 |
| 1285007880 | Advanced Spine and Pain, LLC | Psychiatry & Neurology | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 | 2015-11-04 |
| 1548639339 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 3535 Quakerbridge Rd, Suite 200, Hamilton, NJ 08619-1200 | 2015-09-22 |
| 1699154443 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 521 Sicklerville Rd, Sicklerville, NJ 08081-2636 | 2015-05-27 |
| 1154700904 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 222 New Rd, Suite 102, Linwood, NJ 08221-1299 | 2015-05-27 |
| Street Address |
2 8TH ST |
| City | HAMMONTON |
| State | NJ |
| Zip Code | 08037-3347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609068659 | Young J. Lee | Anesthesiology | 2 8th St, Hammonton, NJ 08037-3347 | 2007-08-14 |
| 1780063537 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 2 8th St, Hammonton, NJ 08037-3347 | 2015-05-27 |
| 1720414071 | Erin E Intessimoni | Nurse Practitioner | 2 8th St, Hammonton, NJ 08037-3347 | 2013-09-18 |
| 1427330141 | Maryann E. Masci | Nurse Practitioner | 2 8th St, Hammonton, NJ 08037-3347 | 2011-09-20 |
| 1225348873 | Ijeoma Menkiti | Nurse Practitioner | 2 8th St, Hammonton, NJ 08037-3347 | 2010-10-18 |
| 1396054722 | Joseph Picciotti | Podiatrist | 2 8th St, Hammonton, NJ 08037-3347 | 2010-10-04 |
| 1306158738 | Kyriaki Sandy Revenidis | Registered Nurse | 2 8th St, Hammonton, NJ 08037-3347 | 2010-07-14 |
| 1023267465 | Chioma A Ezeadichie | Physical Medicine & Rehabilitation | 2 8th St, Hammonton, NJ 08037-3347 | 2008-09-10 |
| 1730359084 | Advanced Spine and Pain LLC | Anesthesiology | 2 8th St, Hammonton, NJ 08037-3347 | 2008-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312532 | Hope On Wheels LLC | Transportation Broker | 882 12th Street, 882 12th Street D5, Hammonton, NJ 08037 | 2019-05-23 |
| 1679050389 | Lori's Wellness Loft | Massage Therapist | 240 S White House Pike, Suite B4, Hammonton, NJ 08037 | 2018-07-25 |
| 1306364773 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2404 4th Road, Folsom, NJ 08037 | 2017-09-06 |
| 1376070003 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1204 11th Street, Folsom, NJ 08037 | 2017-05-12 |
| 1881138154 | Kennedy Medical Group Practice P.C. | Family Medicine | 630 B South White Horse Pike, Hammonton, NJ 08037 | 2016-12-06 |
| 1467908350 | John Lloyd Jr. | Counselor | 63 Laurel Lane, Hammonton, NJ 08037 | 2016-08-30 |
| 1407218019 | Karon Ross | Counselor | 44 Fern Lane, Hammonton, NJ 08037 | 2016-03-23 |
| 1396106548 | Helen Durham | Counselor | 61 Laurel Lane, Hammonton, NJ 08037 | 2016-03-16 |
| 1972994481 | Person First New Jersey LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Heggan Ln, Heggan Ln, Hammonton, NJ 08037 | 2015-02-05 |
| 1659702298 | Alienta Limited Liability Company | Community/Behavioral Health | 425 N Third Street, Hammonton, NJ 08037 | 2013-12-09 |
| Find all providers in zip 08037 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891141057 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 120 S White Horse Pike, Hammonton, NJ 08037-1804 | 2016-05-06 |
| 1609269935 | Michael Falcone, Md, LLC Dispensary | Non-Pharmacy Dispensing Site | 373 S White Horse Pike, Hammonton, NJ 08037-1135 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.