NPIMap

Organization Active NPI

South Jersey Pain Consultants LLC

  • Non-Pharmacy Dispensing Site
  • Marlton, NJ
National Provider Identifier
1700336450
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MB67388 Issued in NJ
Legal business name
SOUTH JERSEY PAIN CONSULTANTS LLC
Practice address
525 Route 73 S
Suite 103
Marlton, NJ 08053-9642
Phone
(856) 464-5777
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Vincent Padula, DO
Title
Managing Member
Phone
(856) 797-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X MB67388 NJ Primary

Addresses

Primary practice location

525 Route 73 S
Suite 103
Marlton, NJ 08053-9642

Mailing address

525 Route 73 S
Suite 103
Marlton, NJ 08053-9642

National Provider Directory

National Provider Directory
Tax ID family
South Jersey Pain Consultants LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1700336450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S",
            "address_2": "SUITE 103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S",
            "address_2": "SUITE 103",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539642",
            "telephone_number": "856-464-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY PAIN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "PADULA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "856-797-5777",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "MB67388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.