SOUTH JERSEY PAIN CONSULTANTS LLC (NPI# 1700336450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700336450 |
Entity Type | Organization |
Organization Name | SOUTH JERSEY PAIN CONSULTANTS LLC |
Practice Address |
525 Route 73 S Suite 103 Marlton NJ 08053-9642 |
Practice Telephone | 8564645777 |
Enumeration Date | 2016-10-06 |
Last Update Date | 2016-11-21 |
Authorized Official Name | VINCENT PADULA (MANAGING MEMBER) |
Authorized Official Telephone | 8567975777 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | MB67388 | NJ | Suppliers |
Street Address |
525 ROUTE 73 S SUITE 103 |
City | MARLTON |
State | NJ |
Zip Code | 08053-9642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548261605 | Steven D Mellul | Ophthalmology | 525 Route 73 S, Suite 305, Marlton, NJ 08053-9642 | 2005-08-10 |
1578914909 | Cornerstone Foot & Ankle | Podiatrist | 525 Route 73 S, Suite 304, Marlton, NJ 08053-9642 | 2016-06-27 |
1326416934 | Brenna Dean | Physician Assistant | 525 Route 73 S, Suite 300, Marlton, NJ 08053-9642 | 2015-09-14 |
1225457542 | Lauren Ashley Parks | Nurse Practitioner | 525 Route 73 S, Suite 102, Marlton, NJ 08053-9642 | 2014-04-15 |
1568883288 | Tia Sanders | Social Worker | 525 Route 73 S, Suite 306b, Marlton, NJ 08053-9642 | 2013-12-23 |
1891043238 | Tia Sanders | Social Worker | 525 Route 73 S, Ste 306b, Marlton, NJ 08053-9642 | 2012-08-15 |
1811257629 | Advocare, LLC | Physical Medicine & Rehabilitation | 525 Route 73 S, Suite 104a, Marlton, NJ 08053-9642 | 2012-05-26 |
1457638470 | Erica Michelle Voorhees | Physician Assistant | 525 Route 73 S, Suite 103, Marlton, NJ 08053-9642 | 2011-11-04 |
1699900639 | Elrita Michelle Godbold | Counselor | 525 Route 73 S, Marlton, NJ 08053-9642 | 2009-05-20 |
1578748836 | South Jersey Pain Consultants, LLC | Specialist | 525 Route 73 S, Suite 103, Marlton, NJ 08053-9642 | 2008-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
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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 |
---|---|---|---|---|
1568895522 | Meetinghouse Family Physicians Pa | Non-Pharmacy Dispensing Site | 330 Greentree Rd, Marlton, NJ 08053-9427 | 2013-08-14 |
1396297321 | Advanced Medical Care Center | Non-Pharmacy Dispensing Site | 901 Route 73 N, Suite C, Marlton, NJ 08053-1226 | 2016-10-25 |
1003958927 | Cooper Family Medicine - Marlton | Non-Pharmacy Dispensing Site | 1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534 | 2007-02-14 |
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.