Organization Active NPI

Samwell Institute of Pain Management LLC

  • Interventional Pain Medicine Physician
  • Colonia, NJ
National Provider Identifier
1124501689
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Aug 22, 2023

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20181214000557 NJ Part B Supplier - Clinic/Group Practice 2668717984 Practice locations: Colonia, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2173545Samwell Institute for Pain Management315 E Northfield Road, Suite 1C, Livingston, NJ 07039Certificate of waiverOct 14, 2027
31D2288011Samwell Institute for Pain Management370 Grand Ave #202, Englewood, NJ 07631Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.