NPIMap

Organization Active NPI

Central Pain and Wellness

  • Interventional Pain Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1063879971
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25MA06131600 Issued in NJ
Legal business name
CENTRAL PAIN AND WELLNESS
Practice address
725 Mill St
Moorestown, NJ 08057-1803
Phone
(609) 828-7443
NPI assigned
Jan 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Dr. Gary B Buck, M.D.
Title
President
Phone
(609) 290-7015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 25MA06131600 NJ Primary

Addresses

Primary practice location

725 Mill St
Moorestown, NJ 08057-1803

Mailing address

725 Mill St
Moorestown, NJ 08057-1803
Phone (609) 828-7443

National Provider Directory

National Provider Directory
Tax ID family
Central Pain and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1063879971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MILL ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571803",
            "telephone_number": "609-828-7443",
            "fax_number": "856-393-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MILL ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571803",
            "telephone_number": "609-828-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PAIN AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-290-7015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA06131600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.