Active NPI
Professional Pain Managment Associates
- Pain Medicine (Anesthesiology) Physician
- Williamstown, NJ
National Provider Identifier
1154592103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MB04459800
- Legal business name
- PROFESSIONAL PAIN MANAGMENT ASSOCIATES
- Practice address
- 2007 N Black Horse Pike
Williamstown, NJ 08094-9120 - Phone
- (856) 740-4888
- Fax
- (856) 740-0559
- NPI assigned
- Mar 18, 2008
- 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
- Carol Lingo
- Title
- Business Office Manager
- Phone
- (856) 740-6213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MB04459800 | NJ | Primary |
Addresses
Primary practice location
2007 N Black Horse Pike
Williamstown, NJ 08094-9120
Mailing address
PO Box 8890
Turnersville, NJ 08012-8890
Phone (856) 740-4888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110617000504 | NJ | Part B Supplier - Clinic/Group Practice | 3577741743 |
Receives reassigned benefits from 10 practitioners Practice locations: Cherry Hill, NJ; Williamstown, NJ; Vineland, NJ; Somers Point, NJ; Princeton, NJ; Northfield, NJ |
National Provider Directory
National Provider DirectoryLocations
802 Tilton Rd
Northfield, NJ 08225
Phone (609) 569-1900
510 E Landis Ave
Vineland, NJ 08360
Phone (856) 691-0361
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Williamstown, NJ
- NPI 1104801430
NJ, Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Cherry Hill, NJ
- NPI 1184783375
NJ, Pain Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Fairless Hills, PA
- NPI 1710929005
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1154592103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8890",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "080128890",
"telephone_number": "856-740-4888",
"fax_number": "856-740-0559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 N BLACK HORSE PIKE",
"city": "WILLIAMSTOWN",
"state": "NJ",
"postal_code": "080949120",
"telephone_number": "856-740-4888",
"fax_number": "856-740-0559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL PAIN MANAGMENT ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "LINGO",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "856-740-6213"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MB04459800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.