Organization Active NPI

United Pain Management of South Jersey PC

  • Pain Medicine Physician
  • Vineland, NJ
National Provider Identifier
1609181502
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
UNITED PAIN MANAGEMENT OF SOUTH JERSEY PC
Practice address
3071 E Chestnut Ave
Suite D-12
Vineland, NJ 08361-7847
Phone
(800) 529-9395
Fax
(856) 451-8615
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
David Watts, MDNPI 1699730234
Title
Partner
Phone
(800) 529-9395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

3071 E Chestnut Ave
Suite D-12
Vineland, NJ 08361-7847

Mailing address

PO Box 872
Bridgeton, NJ 08302-0457
Phone (856) 451-9395

National Provider Directory

National Provider Directory

Locations

3071 E Chestnut Ave
Ste D12
Vineland, NJ 08361
Phone (201) 837-3939

3071 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 507-1556

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1609181502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083020457",
            "telephone_number": "856-451-9395",
            "fax_number": "856-451-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 E CHESTNUT AVE",
            "address_2": "SUITE D-12",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083617847",
            "telephone_number": "800-529-9395",
            "fax_number": "856-451-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PAIN MANAGEMENT OF SOUTH JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "800-529-9395",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.