Active NPI
Preventative Pain & Wellness of Lafayette Hill
- Pain Medicine Physician
- Lafayette Hill, PA
National Provider Identifier
1104363985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PREVENTATIVE PAIN & WELLNESS OF LAFAYETTE HILL
- Practice address
- 606 Germantown Pike
Lafayette Hill, PA 19444-1802 - Phone
- (914) 376-6100
- Fax
- (914) 231-6872
- NPI assigned
- Jan 31, 2017
- 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
- Melissa Nieli
- Title
- Billing Manager
- Phone
- (914) 376-6100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
606 Germantown Pike
Lafayette Hill, PA 19444-1802
Mailing address
1053 Saw Mill River Rd
Ardsley, NY 10502-1048
Phone (914) 376-6100
National Provider Directory
National Provider DirectoryLocations
1053 Saw Mill River Rd
Ardsley, NY 10502
Phone (914) 674-0733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485820800000",
"number": "1104363985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 SAW MILL RIVER RD",
"city": "ARDSLEY",
"state": "NY",
"postal_code": "105021048",
"telephone_number": "914-376-6100",
"fax_number": "914-231-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441802",
"telephone_number": "914-376-6100",
"fax_number": "914-231-6872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTATIVE PAIN & WELLNESS OF LAFAYETTE HILL",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2017-01-31",
"status": "A",
"authorized_official_last_name": "NIELI",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "914-376-6100"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.