Individual provider Active NPI

Robert Thaddeaus Chapdelaine, MD

  • Pain Medicine Physician
  • Pennsville, NJ
National Provider Identifier
1710080056
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
25MA08129700 Issued in NJ
Practice address
390 N Broadway Ste 500
Pennsville, NJ 08070-1257
Phone
(856) 691-2211
Fax
(856) 839-4128
NPI assigned
Sep 5, 2006
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 25MA08129700 NJ Primary

Addresses

Primary practice location

390 N Broadway Ste 500
Pennsville, NJ 08070-1257

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other practice location 1

2466 E Chestnut Ave Ste 2
Vineland, NJ 08361-8486
Phone (856) 691-2211

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Robert.Chapdelaine.1@21449.direct.athenahealth.com Premier Brain and Spine, LLC

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
I20070510000156 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 6709982507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
University of Minnesota Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08129700NJMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine LLC Pain Medicine CurrentSince Dec 1, 2024 Accepting new patients
Premier Brain and Spine, LLC CurrentSince Dec 1, 2024 Accepting new patients
Mid-Atlantic Pain Specialists, LLC Past Accepting new patients
Mid-Atlantic Pain Specialists LLC Past Accepting new patients
Freeman Pain Institute PA Past Accepting new patients

Locations

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

390 N Broadway
Ste 500
Pennsville, NJ 08070
Phone (856) 344-9090

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

2004 Bayshore Rd
Villas, NJ 08251
Phone (609) 465-1593

2466 E Chestnut Ave
Ste 2
Vineland, NJ 08361
Phone (856) 213-9500

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

204 Grove Ave
Ste G
West Deptford, NJ 08086
Phone (856) 579-8674

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

Interoperability endpoints

  • Direct secure messaging: robert.chapdelaine@midatlanticpainspecialists.chartmakerdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1710080056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N BROADWAY STE 500",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701257",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2466 E Chestnut Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083618486",
            "country_code": "US",
            "telephone_number": "856-691-2211",
            "fax_number": "856-839-4128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPDELAINE",
        "first_name": "ROBERT",
        "middle_name": "THADDEAUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "25MA08129700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Chapdelaine.1@21449.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Premier Brain and Spine, LLC",
            "address_1": "390 N Broadway Ste 500",
            "city": "Pennsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080701257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennsville, NJ

Sources for this page

Verify at the official NPI Registry.