Eastern Regional Pain MGT, PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

OS005840L Issued in PA

Legal business name

EASTERN REGIONAL PAIN MGT, PC

Practice address

151 Fries Mill Rd
Turnersville, NJ 08012-2016

Phone

(856) 401-8864

Fax

(215) 953-8822

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas P Costello, D.O.

Title

President

Phone

(215) 953-8882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1497029599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 OLD STREET RD",
            "address_2": "SUITE 1A",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536222",
            "telephone_number": "215-953-8882",
            "fax_number": "215-953-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-401-8864",
            "fax_number": "215-953-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN REGIONAL PAIN MGT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-953-8882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS005840L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS.Medina and Margallo Pediatric Associates
• George Edward Du Bois
• Jessica Duncan, RD
• Penelope C Dunkelberger, RPH
• Eastern Regional Pain MGT
• Kelly L Ecker, DO
• Mark Ross Edelstein, M.D.
• Carlenia Edwards
• Melissa Egrie
• Hasan Aqeel Ehsan, M.D.

• Pain Medicine (Anesthesiology) Physician in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

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

Verify at the official NPI Registry.