Timeless Anti-Aging

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

TIMELESS ANTI-AGING

Practice address

300 W Route 38
Moorestown, NJ 08057-3233

Phone

(609) 444-7344

Fax

(609) 257-0666

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Deprince III, D.O.

Title

Owner

Phone

(609) 444-7344

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1326464868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573233",
            "telephone_number": "609-444-7344",
            "fax_number": "609-257-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573233",
            "telephone_number": "609-444-7344",
            "fax_number": "609-257-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMELESS ANTI-AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "DEPRINCE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-444-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Herten Thornton, CRNP
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• Lisa Ann Tighue, CPNP
• Victoria Anne Tiley, PT, DPT
• Bruce L Tjaden Jr., MD
• TLC Homecareservices, LLC
• Candice Bernice Tolud, O.D.
• James A Tom, MD
• Trong D Tran, MD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.