Organization Active NPI

LFT Family Medicine & Pain Management

  • Pain Medicine Physician
  • West Berlin, NJ
National Provider Identifier
1295083525
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MB06561000 Issued in NJ
Legal business name
LFT FAMILY MEDICINE & PAIN MANAGEMENT
Practice address
403 Commerce LN
West Berlin, NJ 08091-2513
Phone
(856) 768-7737
Fax
(856) 768-4477
NPI assigned
Aug 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Daniel Deprince III, DO
Title
Owner
Phone
(856) 768-7737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 25MB06561000 NJ Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X OS0089071 PA

Addresses

Primary practice location

403 Commerce LN
West Berlin, NJ 08091-2513

Mailing address

PO Box 19
Cedar Brook, NJ 08018-0019
Phone (609) 704-1857

National Provider Directory

National Provider Directory

Locations

403 Commerce Ln
West Berlin, NJ 08091
Phone (856) 768-7737

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1295083525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19",
            "city": "CEDAR BROOK",
            "state": "NJ",
            "postal_code": "080180019",
            "telephone_number": "609-704-1857",
            "fax_number": "609-704-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 COMMERCE LN",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080912513",
            "telephone_number": "856-768-7737",
            "fax_number": "856-768-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LFT FAMILY MEDICINE & PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "DEPRINCE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-768-7737",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MB06561000",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "OS0089071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.