Active NPI
Pain Care Management, LLC
- Health Maintenance Organization
- Philadelphia, PA
National Provider Identifier
1174988265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- DC004886L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.