Precision Pain & Rehabilitation Specialists PA

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

10-92131-05-000 Issued in DE

Legal business name

PRECISION PAIN & REHABILITATION SPECIALISTS PA

Practice address

18958 Coastal Hwy
Suite 1
Rehoboth Beach, DE 19971-6196

Phone

(302) 827-2323

NPI assigned

May 27, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Conly, M.D.

Title

President

Phone

(484) 802-5943

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1003135294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5316",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198080316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18958 COASTAL HWY",
            "address_2": "SUITE 1",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716196",
            "telephone_number": "302-827-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PAIN & REHABILITATION SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "CONLY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-802-5943",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "DE",
            "license": "10-92131-05-000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pain Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.