Central Pain and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB06402900 Issued in NJ

Legal business name

CENTRAL PAIN AND WELLNESS LLC

Practice address

34 Sheffield Dr
Moorestown, NJ 08057-3091

Phone

(856) 255-5479

NPI assigned

Mar 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gary Buck, MD

Title

Officer

Phone

(856) 255-5479

Specialties & licenses 1

Addresses

Tax ID family

Central Pain and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Central Pain and Wellness

  • Interventional Pain Medicine Physician
  • Moorestown, NJ
  • NPI 1063879971
  NPD tax ID

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1538520564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 MILL ST",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SHEFFIELD DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573091",
            "telephone_number": "856-255-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PAIN AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "856-255-5479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06402900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Cauley, ATC
• CCM Dermatology LLC
• David Cecere
• Sean Ceci, PA-C, ATC
• Central Pain and Wellness
• Mysty Chacko, PA-C
• Wai Ben Chan, D.O.
• Autumn Chance
• Richard Chang, PHARMD
• Derek Q Chapman, M.D.

• Family Medicine Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.