Organization Active NPI

Ra Pain Services PA

  • Pain Medicine (Anesthesiology) Physician
  • Linwood, NJ
National Provider Identifier
1700233905
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
RA PAIN SERVICES PA
Practice address
1801 New Rd
Linwood, NJ 08221-1036
Phone
(609) 703-5097
NPI assigned
May 17, 2016
Organization subpart
Yes
Parent organization
R.A.PAIN SERVICES, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Burhan Haleem
Title
Physician Partner
Phone
(855) 727-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1801 New Rd
Linwood, NJ 08221-1036

Mailing address

110 Harbor LN
Suite a
Somers Point, NJ 08244-2470

National Provider Directory

National Provider Directory
Tax ID family
Ra Pain Services PA4 organizations share this tax ID, including this one
Part of
Ra Pain Services PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1700233905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HARBOR LN",
            "address_2": "SUITE A",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NEW RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211036",
            "telephone_number": "609-703-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA PAIN SERVICES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "R.A.PAIN SERVICES, P.A.",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HALEEM",
        "authorized_official_first_name": "BURHAN",
        "authorized_official_title_or_position": "PHYSICIAN PARTNER",
        "authorized_official_telephone_number": "855-727-2465"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.