Ra Pain Services, P.a.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA06131600 Issued in NJ

Legal business name

RA PAIN SERVICES, P.A.

Practice address

329 Greentree Rd
Sewell, NJ 08080-9229

Phone

(856) 228-7246

Fax

(856) 228-7252

NPI assigned

Nov 7, 2014

Organization subpart

No

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

Authorized official

Name

Burhan Haleem

Title

Physician Partner

Phone

(855) 727-2465

Specialties & licenses 1

Addresses

Tax ID family

Ra Pain Services PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Ra Pain Services PA

  • Pain Medicine (Anesthesiology) Physician
  • Linwood, NJ
  • NPI 1700233905
  NPD tax ID
• Ra Pain Services PA

  • Non-Pharmacy Dispensing Site
  • Galloway, NJ
  • NPI 1891144234
  NPD tax ID
• Ra Pain Services, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Cherry Hill, NJ
  • NPI 1437555802
  NPD tax ID

Locations

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1003212788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DR",
            "address_2": "SUITE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541573",
            "telephone_number": "856-255-5479",
            "fax_number": "856-393-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 GREENTREE RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809229",
            "telephone_number": "856-228-7246",
            "fax_number": "856-228-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA PAIN SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HALEEM",
        "authorized_official_first_name": "BURHAN",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "855-727-2465"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06131600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Elizabeth Prudente, NP
• Pulmonary Associates, PA
• Deepa R. Quadir-Alam, PA-C
• R-Smile Dental Care
• Ra Pain Services PA
• Amanda Rader, MSN, FNP-C
• Shakera Rainner, LCSW
• Altamash Raja, D.O.
• Srushti Raja, DO
• Karina Rachel Randazzo, M.S. OTR/L

• Pain Medicine (Anesthesiology) Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.