South Jersey Pain Consultants, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH JERSEY PAIN CONSULTANTS, LLC

Practice address

525 Route 73 S
Suite 103
Marlton, NJ 08053-9642

Phone

(856) 797-5777

Fax

(856) 797-5771

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Monica M Powell II

Title

Billing Supervisor

Phone

(856) 797-5777

Specialties & licenses 1

Addresses

Tax ID family

South Jersey Pain Consultants LLC2 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.

• South Jersey Pain Consultants LLC

  • Non-Pharmacy Dispensing Site
  • Marlton, NJ
  • NPI 1700336450
  NPD tax ID

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1578748836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S",
            "address_2": "SUITE 103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539642",
            "telephone_number": "856-797-5777",
            "fax_number": "856-797-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S",
            "address_2": "SUITE 103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539642",
            "telephone_number": "856-797-5777",
            "fax_number": "856-797-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY PAIN CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "856-797-5777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Center for Advanced Dentistry, LLC
• South Jersey Coping Clinic LLC
• South Jersey Fertility, LLC
• South Jersey Gastroenterology, PA
• South Jersey Pain Consultants LLC
• South Jersey Skin Care & Laser Center, P.C.
• South Jersey Sports & Spine Medicine LLC
• South Jersey Urogynecology, LLC
• South Jersey Wellness Center
• Liana Soyfer, APN

• Specialist in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.