Organization Active NPI

Pain Care Management, LLC

  • Health Maintenance Organization
  • Philadelphia, PA
National Provider Identifier
1174988265
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DC004886L Issued in PA
Legal business name
PAIN CARE MANAGEMENT, LLC
Practice address
520 N Columbus Blvd
Suite 202
Philadelphia, PA 19123-4226
Phone
(215) 239-3097
Fax
(215) 239-3098
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. G Zita, D.C.
Title
Owner
Phone
(215) 239-3097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DC004886L PA Primary

Addresses

Primary practice location

520 N Columbus Blvd
Suite 202
Philadelphia, PA 19123-4226

Mailing address

PO Box 9680
Hamilton, NJ 08650-1680
Phone (215) 239-3097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1174988265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9680",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086501680",
            "telephone_number": "215-239-3097",
            "fax_number": "215-239-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N COLUMBUS BLVD",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191234226",
            "telephone_number": "215-239-3097",
            "fax_number": "215-239-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "ZITA",
        "authorized_official_first_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-239-3097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "DC004886L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.