PROFESSIONAL PAIN MANAGMENT ASSOCIATES (NPI# 1154592103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154592103 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PAIN MANAGMENT ASSOCIATES |
| Practice Address |
2007 N Black Horse Pike Williamstown NJ 08094-9120 |
| Mailing Address |
Po Box 8890 Turnersville NJ 08012-8890 |
| Practice Telephone | 8567404888 |
| Practice Fax Number | 8567400559 |
| Mailing Telephone | 8567404888 |
| Mailing Fax Number | 8567400559 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | DR. PETER DENNIS CORDA (PHYSICIAN) |
| Authorized Official Telephone | 8567404888 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MB04459800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
2007 N BLACK HORSE PIKE |
| City | WILLIAMSTOWN |
| State | NJ |
| Zip Code | 08094-9120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861477192 | Peter Dennis Corda | Anesthesiology | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2005-12-09 |
| 1477090777 | Professional Pain Management | Non-Pharmacy Dispensing Site | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2017-01-24 |
| 1083006886 | Professional Pain Management Dispensary | Pharmacy | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2015-03-03 |
| 1730570375 | The Center for Orthobiologics and Sports Medicine Dispensary | Non-Pharmacy Dispensing Site | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2015-02-17 |
| 1821406802 | Krome's Regenerative Medicine LLC | Family Medicine | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2014-07-23 |
| 1598170417 | Stem Cell and Regenerative Medicine Institute | Family Medicine | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2014-06-30 |
| 1154536886 | Bhawna Jha | Pain Medicine | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2007-05-14 |
| 1821008095 | Richard Bennett | Nurse Anesthetist, Certified Registered | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2006-08-09 |
| 1942274501 | Jeffrey Drew Polcer | Anesthesiology | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2006-02-13 |
| 1104801430 | Vannette Naomi Perkins | Anesthesiology | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2005-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307068 | A Helping Hand Services Inc. | Psychologist | 208 Brandywine Dr., Williamstown, NJ 08094 | 2019-10-16 |
| 1558843920 | Ngozi Oluchi Amugo | Nurse Practitioner | 1005 Cezanne Ct, Williamstown, NJ 08094 | 2018-09-03 |
| 1962913111 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1767 Forest Drive, Williamstown, NJ 08094 | 2017-10-16 |
| 1841701091 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1848 Herbert Boulevard, Williamstown, NJ 08094 | 2017-10-16 |
| 1659747350 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community/Behavioral Health | 1040 North Tuckahoe Road, Tuckahoe House, Williamstown, NJ 08094 | 2015-08-17 |
| 1891161774 | Assoc. for Retarded Citizens. Inc. Gloucester County | Respite Care | 1036 North Tuckahoe Road, Camp Sun N' Fun, Williamstown, NJ 08094 | 2015-08-14 |
| 1972989184 | Ismile Dental Arts, PC | Clinic/Center | 368 Berlin Cross Keys Rd, Williamstown, NJ 08094 | 2015-08-11 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1144625468 | Lauren Degrazia | Behavioral Analyst | 1880 Glassboro Rd., Williamstown, NJ 08094 | 2014-10-29 |
| 1558601765 | Monroe Township Public School District | Local Education Agency (LEA) | 75 E. Academy Street, Williamstown, NJ 08094 | 2013-02-25 |
| Find all providers in zip 08094 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801430 | Vannette Naomi Perkins | Anesthesiology | 2007 N Black Horse Pike, Williamstown, NJ 08094-9120 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 08094 |
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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.