Center for Advanced Pain Management and Clinical Orthopaedics LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

25MA07181100 Issued in NJ

Legal business name

CENTER FOR ADVANCED PAIN MANAGEMENT AND CLINICAL ORTHOPAEDICS LLC

Practice address

1 Lucerne Dr
Lakewood, NJ 08701-2135

Phone

(732) 722-7593

NPI assigned

Jul 23, 2008

Last updated

Dec 20, 2024By 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. Moises Kaweblum, M.D.NPI 1790785921

Title

Medical Doctor

Phone

(732) 948-5241

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moises Kaweblum, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lakewood, NJ
  • NPI 1790785921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1619132271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LUCERNE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012135",
            "telephone_number": "732-722-7593",
            "fax_number": "732-722-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LUCERNE DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012135",
            "telephone_number": "732-722-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED PAIN MANAGEMENT AND CLINICAL ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "KAWEBLUM",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "732-948-5241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA07181100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.