Organization Active NPI

Ra Pain Services, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Cherry Hill, NJ
National Provider Identifier
1437555802
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA06131600 Issued in NJ
Legal business name
RA PAIN SERVICES, P.A.
Practice address
1020 Kings Hwy N Ste 106
Cherry Hill, NJ 08034-1906
Phone
(856) 691-2211
Fax
(856) 691-2230
NPI assigned
Nov 13, 2014
Organization subpart
Yes
Parent organization
R.A.PAIN SERVICES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Burhan Haleem
Title
Physician Partner
Phone
(855) 727-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 25MA06131600 NJ Primary

Addresses

Primary practice location

1020 Kings Hwy N Ste 106
Cherry Hill, NJ 08034-1906

Mailing address

15000 Midlantic Dr
Mount Laurel, NJ 08054-1573
Phone (856) 255-5479

National Provider Directory

National Provider Directory
Tax ID family
Ra Pain Services PA4 organizations share this tax ID, including this one
Part of
Ra Pain Services PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1133 E Chestnut Ave
Bldg 2
Vineland, NJ 08360
Phone (856) 690-8883

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1437555802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541573",
            "telephone_number": "856-255-5479",
            "fax_number": "856-393-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 KINGS HWY N STE 106",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341906",
            "telephone_number": "856-691-2211",
            "fax_number": "856-691-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA PAIN SERVICES, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R.A.PAIN SERVICES, P.A.",
        "enumeration_date": "2014-11-13",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HALEEM",
        "authorized_official_first_name": "BURHAN",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "855-727-2465"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06131600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 27, 2021; 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.