Organization Active NPI

Freedom Pain Centers Inc

  • Interventional Pain Medicine Physician
  • Pennsville, NJ
National Provider Identifier
1619125937
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
FREEDOM PAIN CENTERS INC
Practice address
390 N Broadway
Suite 300
Pennsville, NJ 08070-1253
Phone
(917) 676-7564
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Rinoo V Shah, MD
Title
MD/Owner
Phone
(917) 676-7564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

390 N Broadway
Suite 300
Pennsville, NJ 08070-1253

Mailing address

PO Box 389
Pennsville, NJ 08070-0389

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidNJ

National Provider Directory

National Provider Directory

Locations

390 N Broadway
Ste 300
Pennsville, NJ 08070
Phone (856) 678-5975

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1619125937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080700389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N BROADWAY",
            "address_2": "SUITE 300",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701253",
            "telephone_number": "917-676-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM PAIN CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RINOO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "917-676-7564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.