Individual provider Active NPI

George Pepe, DO

  • Pain Medicine (Anesthesiology) Physician
  • Fairless Hills, PA
National Provider Identifier
1629018593
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
OS008338L Issued in PA
Practice address
333 N Oxford Valley Rd
Suite 510
Fairless Hills, PA 19030-2624
Phone
(215) 785-0145
Fax
(215) 785-0161
NPI assigned
Jun 7, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X OS008338L PA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MB06640800 NJ

Addresses

Primary practice location

333 N Oxford Valley Rd
Suite 510
Fairless Hills, PA 19030-2624

Mailing address

PO Box 606
Langhorne, PA 19047-0606
Phone (215) 785-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000564 NJ Practitioner - Anesthesiology 1355301607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Society Hill Anesthesia Consultants of New Jersey, PCGroup PAC ID 9133150063, 18 clinicians

Practice addresses (Care Compare)

408 Route 70 E
Wills Eye Surgery Center in Cherry
Cherry Hill, NJ 08034
Phone (856) 354-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB06640800NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Society Hill Anesthesia Consultants of New Jersey, PC CurrentSince Dec 7, 2019 Accepting new patients
Clinical Pain Management Associates, PC Past Accepting new patients
Society Hill Anesthesia Consultants, PC Past Accepting new patients
Virtua Medical Group, PA PastSince Nov 15, 2020 Accepting new patients

Locations

408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1629018593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190470606",
            "telephone_number": "215-785-0145",
            "fax_number": "215-785-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N OXFORD VALLEY RD",
            "address_2": "SUITE 510",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302624",
            "telephone_number": "215-785-0145",
            "fax_number": "215-785-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "GEORGE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "OS008338L",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MB06640800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairless Hills, PA

Sources for this page

Verify at the official NPI Registry.