Active NPI
Pain and Spine Treatment Centers PC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Burlington, NJ
National Provider Identifier
1053515023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MB04709600
- Legal business name
- PAIN AND SPINE TREATMENT CENTERS PC
- Practice address
- 811 Sunset Rd
Burlington, NJ 08016 - Phone
- (610) 237-5006
- Fax
- (610) 237-4138
- NPI assigned
- Jun 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald E. Dworkin, D.O.
- Title
- President
- Phone
- (610) 237-5006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MB04709600 | NJ | Primary |
Addresses
Primary practice location
811 Sunset Rd
Burlington, NJ 08016
Mailing address
1503 Lansdowne Ave
Ste 2001
Darby, PA 19023
Phone (610) 237-5006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2182408 | Medicaid | NJ | |
| 114936W05 | Other | NJ | PTAN |
National Provider Directory
National Provider DirectoryLocations
950 S Chester Ave
Rear
Delran, NJ 08075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412294400000",
"number": "1053515023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 LANSDOWNE AVE",
"address_2": "STE 2001",
"city": "DARBY",
"state": "PA",
"postal_code": "19023",
"telephone_number": "610-237-5006",
"fax_number": "610-237-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 SUNSET RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "08016",
"telephone_number": "610-237-5006",
"fax_number": "610-237-4138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND SPINE TREATMENT CENTERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2014-10-03",
"status": "A",
"authorized_official_last_name": "DWORKIN",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-237-5006",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MB04709600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2182408",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "114936W05",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.