Organization Active NPI

Primary Care & Rehabilitation PC

Doing business as Center for Pain Management

  • Pain Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1255446407
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MB06045900 Issued in NJ
Legal business name
PRIMARY CARE & REHABILITATION PC
Doing business as
Center for Pain Management
Practice address
1030 Kings Hwy N
Suite 200
Cherry Hill, NJ 08034-1907
Phone
(856) 779-7773
NPI assigned
Aug 20, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Mrs. Jean Girgenti
Title
Office Manager
Phone
(856) 779-7774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 25MB06045900 NJ Primary

Addresses

Primary practice location

1030 Kings Hwy N
Suite 200
Cherry Hill, NJ 08034-1907

Mailing address

1030 N Kings Hwy
Suite 200
Cherry Hill, NJ 08034-1907
Phone (856) 779-7773

Other names 1

  • Center for Pain Management Doing business as

National Provider Directory

National Provider Directory

Locations

222 New Rd
#200
Linwood, NJ 08221
Phone (609) 601-6008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1255446407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N KINGS HWY",
            "address_2": "SUITE 200",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341907",
            "telephone_number": "856-779-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 KINGS HWY N",
            "address_2": "SUITE 200",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341907",
            "telephone_number": "856-779-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "GIRGENTI",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-779-7774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MB06045900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.