NPIMap

Organization Active NPI

Naspac-NJ PLLC

  • Interventional Pain Medicine Physician
  • Paoli, PA
National Provider Identifier
1073857256
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NASPAC-NJ PLLC
Practice address
2 Industrial Blvd
Paoli, PA 19301-1645
Phone
(484) 879-6508
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Ms. Renee Bogdol
Title
Revenue Cycle Director
Phone
(609) 845-3988

Specialties & licenses 1

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

Addresses

Primary practice location

2 Industrial Blvd
Paoli, PA 19301-1645

Mailing address

2 Industrial Blvd
Paoli, PA 19301-1645
Phone (484) 879-6508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130228000256 PA Part B Supplier - Clinic/Group Practice 6406001205 Receives reassigned benefits from 14 practitioners
Practice locations: Bala Cynwyd, PA; Langhorne, PA; Paoli, PA; Wexford, PA; Willow Grove, PA
O20180921001203 PA DME Supplier - Physician - General Practice 6406001205 Practice locations: Paoli, PA

National Provider Directory

National Provider Directory

Locations

930 Town Center Dr
Ste G50
Langhorne, PA 19047

1000 Integrity Dr
Ste 100
Pittsburgh, PA 15235
Phone (412) 242-0777

9000 Brooktree Rd
Ste 110
Wexford, PA 15090
Phone (412) 203-8779

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1073857256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "484-879-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "484-879-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASPAC-NJ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "BOGDOL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "609-845-3988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.