Organization Active NPI

Pac Professional Pain Management, PC

  • Pain Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1407036767
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAC PROFESSIONAL PAIN MANAGEMENT, PC
Practice address
1235 Whitehorse Mercerville Rd
Suite 310
Hamilton, NJ 08619-3810
Phone
(609) 581-6610
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Laurence Wiener
Title
Owner
Phone
(609) 581-6610

Specialties & licenses 1

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

Addresses

Primary practice location

1235 Whitehorse Mercerville Rd
Suite 310
Hamilton, NJ 08619-3810

Mailing address

PO Box 8500-6796
Philadelphia, PA 19178-0001
Phone (201) 804-2800

National Provider Directory

National Provider Directory

Locations

1235 Whthrs Mrcvl Rd
Ste 310
Trenton, NJ 08619
Phone (609) 581-6610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1407036767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-6796",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 310",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAC PROFESSIONAL PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-581-6610"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.