NPIMap

Organization Active NPI

Delaware Valley Pain Institute LLC

Doing business as Comprehensive Pain Management

  • Ambulatory Surgical Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1336393537
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
25MB04703700 Issued in NJ
Legal business name
DELAWARE VALLEY PAIN INSTITUTE LLC
Doing business as
Comprehensive Pain Management
Practice address
1804 Berlin Rd
Cherry Hill, NJ 08003-3736
Phone
(856) 489-3300
Fax
(856) 489-3477
NPI assigned
Nov 14, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Alan D Carr, D.O.NPI 1184783375
Title
Doctor
Phone
(856) 489-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 25MB04703700 NJ Primary

Addresses

Primary practice location

1804 Berlin Rd
Cherry Hill, NJ 08003-3736

Mailing address

1804 Berlin Rd
Cherry Hill, NJ 08003-3736
Phone (856) 489-3300

Other identifiers 1

IdentifierTypeStateIssuer
705385OtherNJMEDICARE IDENTIFICATION NUMBER

Other names 1

  • Comprehensive Pain Management Doing business as

National Provider Directory

National Provider Directory

Locations

1804 Berlin Rd
Cherry Hill, NJ 08003
Phone (856) 489-3300

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": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1336393537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033736",
            "telephone_number": "856-489-3300",
            "fax_number": "856-489-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033736",
            "telephone_number": "856-489-3300",
            "fax_number": "856-489-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY PAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "856-489-3300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "25MB04703700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "705385",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive 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 Dec 16, 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.