Northeast Pain Management Center P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTHEAST PAIN MANAGEMENT CENTER P C

Practice address

10184 Verree Rd
Philadelphia, PA 19116-3637

Phone

(215) 934-6665

Fax

(215) 934-5151

NPI assigned

Nov 13, 2006

Last updated

Aug 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abraham V Easaw, D.C

Title

Chiropractor

Phone

(215) 934-6665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1568533131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10184 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163637",
            "telephone_number": "215-934-6665",
            "fax_number": "215-934-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10184 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163637",
            "telephone_number": "215-934-6665",
            "fax_number": "215-934-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST PAIN MANAGEMENT CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "EASAW",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-934-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northeast Primary Care, PC
• Northeast Spine and Rehabilitaion Center LLC

• Chiropractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.