Active NPI
Samwell Institute of Pain Management LLC
- Interventional Pain Medicine Physician
- Colonia, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SAMWELL INSTITUTE OF PAIN MANAGEMENT LLC
- Practice address
- 1503 Saint Georges Ave
Colonia, NJ 07067-3425 - Phone
- (732) 276-2494
- NPI assigned
- Sep 11, 2018
- 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
- Karelia Lovelace
- Title
- Practice Manager
- Phone
- (322) 762-4947
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1503 Saint Georges Ave
Colonia, NJ 07067-3425
Mailing address
1503 Saint Georges Ave
Colonia, NJ 07067-3425
Phone (732) 276-2494
Other practice location 1
370 Grand Ave Ste 202
Englewood, NJ 07631-4109
Phone (732) 276-2494
Other practice location 2
315 E Northfield Rd Ste 1C
Livingston, NJ 07039-4800
Phone (732) 276-2494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181214000557 | NJ | Part B Supplier - Clinic/Group Practice | 2668717984 | Practice locations: Colonia, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2173545 | Samwell Institute for Pain Management | Certificate of waiver | Oct 14, 2027 |
| 31D2288011 | Samwell Institute for Pain Management | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1503 Saint Georges Ave
Ste 205
Colonia, NJ 07067
Phone (732) 276-2494
315 E Northfield Rd
Ste 1C
Livingston, NJ 07039
Phone (732) 276-2494
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Colonia, NJ
- NPI 1639574429
-
- Physical Medicine & Rehabilitation Physician
- Hoboken, NJ
- NPI 1285165431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1124501689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 SAINT GEORGES AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070673425",
"telephone_number": "732-276-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 SAINT GEORGES AVE",
"city": "COLONIA",
"state": "NJ",
"postal_code": "070673425",
"telephone_number": "732-276-2494"
}
],
"practiceLocations": [
{
"address_1": "370 Grand Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076314109",
"country_code": "US",
"telephone_number": "732-276-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 E Northfield Rd Ste 1C",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070394800",
"country_code": "US",
"telephone_number": "732-276-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAMWELL INSTITUTE OF PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-11",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "LOVELACE",
"authorized_official_first_name": "KARELIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "322-762-4947"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonia, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.