Pain Control PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD032400E Issued in PA

Legal business name

PAIN CONTROL PC

Practice address

2 Park LN
Suite 102
Feasterville Trevose, PA 19053-6004

Phone

(215) 240-1225

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ilya AverbuchNPI 1316920358

Title

President / Ceo

Phone

(215) 953-9595

Specialties & licenses 2

Addresses

Locations

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.

• Ilya M Averbuch, M.D.

  • Anesthesiology Physician
  • Newberry, SC
  • NPI 1316920358
  Authorized official Same address or phone

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1083861264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 HENDRIX ST",
            "address_2": "BOX 11535",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162031",
            "telephone_number": "215-953-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARK LN",
            "address_2": "SUITE 102",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536004",
            "telephone_number": "215-240-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONTROL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "AVERBUCH",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "215-953-9595",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA04914900",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD032400E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ortega, MS, CCC-SLP
• PA Care Alliance LLC
• PA Health Home Care Services Inc
• Rhonesha Pack
• Jennifer Lynn Pacyon, PSYD
• Kushal A Parikh, DMD
• Ayesha Parvez, M.D
• Atish Patel, M.D.
• Nand Patel, DMD
• Swetanshi V Patel

• Pain Medicine (Anesthesiology) Physician in Feasterville Trevose, PA
• Providers in Feasterville Trevose, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.