EASTERN STATES PAIN SPECIALISTS, LLC (NPI# 1225409980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225409980 |
| Entity Type | Organization |
| Organization Name | EASTERN STATES PAIN SPECIALISTS, LLC |
| Practice Address |
15000 Midlantic Dr Mount Laurel NJ 08054-1573 |
| Mailing Address |
Po Box 4604 Lancaster PA 17604-4604 |
| Practice Telephone | 8568555479 |
| Mailing Telephone | 2018042800 |
| Mailing Fax Number | 2018048883 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | JEFFREY GORDON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2016675568 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | RA PAIN SERVICES, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
15000 MIDLANTIC DR |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190820 | William L Niedrach | Urology | 15000 Midlantic Dr, Suite 100, Mount Laurel, NJ 08054-1573 | 2006-01-30 |
| 1902466865 | Meagan Margaret Barnes | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2019-06-13 |
| 1962980862 | Tracy Baus | Anesthesiology | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2018-08-02 |
| 1659878296 | Stephanie Elizabeth Zulkoski | Dietitian, Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2018-04-10 |
| 1568993806 | Teresa Martone | Nurse Practitioner | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 | 2017-03-27 |
| 1780120519 | Amy Renee Martz | Registered Nurse | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 | 2017-01-18 |
| 1053862243 | Caroline Marie Desanctis | Dietitian, Registered | 15000 Midlantic Dr, Suite 101, Mount Laurel, NJ 08054-1573 | 2016-10-22 |
| 1134587793 | Barbara Fulgentiz | Counselor | 15000 Midlantic Dr, Suite 101, Mount Laurel, NJ 08054-1573 | 2016-02-10 |
| 1245698729 | Lauren Rooney | Dietitian, Registered | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 | 2016-01-29 |
| 1841657327 | Shanna Manger | Social Worker | 15000 Midlantic Dr, Suite 101, Mount Laurel, NJ 08054-1573 | 2016-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489162 | Fleischner Medical Services | Pain Medicine | 175 Cedar Ln Ste 5, Teaneck, NJ 07666-4315 | 2020-05-18 |
| 1710508304 | Advanced Spine and Pain LLC | Pain Medicine | 2186 Route 27 Ste 2d, North Brunswick, NJ 08902-1137 | 2020-05-05 |
| 1447885116 | Advanced Spine and Pain, LLC | Pain Medicine | 3100 Hingston Ave Ste 104, Egg Harbor Township, NJ 08234-4409 | 2020-03-03 |
| 1306322839 | Lc Medical Care LLC | Pain Medicine | 335 Chestnut St, Norwood, NJ 07648-0001 | 2018-07-18 |
| 1376090423 | Bloomfield Health Services, LLC | Pain Medicine | 322 Glenwood Avenue, Bloomfield, NJ 07003 | 2016-09-07 |
| 1740667856 | Naspac1 LLC | Pain Medicine | 2141 Brunswick Ave, Lawrenceville, NJ 08648-4407 | 2015-04-28 |
| 1679983829 | Neurological Diagnostic | Pain Medicine | 201 Chestnut St, Newark, NJ 07105-1771 | 2014-04-28 |
| 1841552270 | Nature Spine & Joint Care LLC | Pain Medicine | 65 Addison Pl Apt C, Clifton, NJ 07012-3399 | 2012-06-12 |
| 1134407455 | Aasje | Pain Medicine | 1 Orient Way, F165, Rutherford, NJ 07070-2524 | 2011-08-03 |
| 1104130673 | Pain Healing Center PC | Pain Medicine | 749 Irvington Avenue, Maplewood, NJ 07040 | 2010-07-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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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.