Active NPI
LFT Family Medicine & Pain Management
- Pain Medicine Physician
- West Berlin, NJ
National Provider Identifier
1295083525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 25MB06561000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 25MB06561000 | NJ | Primary |
| Pain Medicine Physician | 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 DirectoryLocations
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.