Organization Active NPI

Delaware Valley Pain Institute LLC

  • Anesthesiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1023207602
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MB47037 Issued in NJ
Legal business name
DELAWARE VALLEY PAIN INSTITUTE LLC
Practice address
1804 Berlin Rd
Cherry Hill, NJ 08003-3736
Phone
(856) 489-3300
Fax
(856) 489-3477
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mrs. Eileen Carr
Title
Administrator
Phone
(856) 489-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MB47037 NJ Primary

Addresses

Primary practice location

1804 Berlin Rd
Cherry Hill, NJ 08003-3736

Mailing address

1804 Berlin Rd
Cherry Hill, NJ 08003-3736
Phone (856) 489-3300

National Provider Directory

National Provider Directory

Locations

1804 Berlin Rd
Cherry Hill, NJ 08003
Phone (856) 489-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1023207602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033736",
            "telephone_number": "856-489-3300",
            "fax_number": "856-489-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033736",
            "telephone_number": "856-489-3300",
            "fax_number": "856-489-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "856-489-3300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "MB47037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.