Pain Treatment & Rehabilitation Center,PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

054476609 Issued in DE

Legal business name

PAIN TREATMENT & REHABILITATION CENTER,PA

Practice address

71 Omega Dr
Building D
Newark, DE 19713-2063

Phone

(302) 283-3300

Fax

(302) 283-3321

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Jenifer Lucey

Title

Billing Representative

Phone

(302) 283-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1740245125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "D71 OMEGA DRIVE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 OMEGA DR",
            "address_2": "BUILDING D",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132063",
            "telephone_number": "302-283-3300",
            "fax_number": "302-283-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN TREATMENT & REHABILITATION CENTER,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "302-283-3300"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "DE",
            "license": "054476609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023982",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Randolph Pahnke, M.D.
• Helen Hyejin Paik, M.D.
• Pain & Sleep Therapy Center
• Pain & Sleep Therapy Center
• Pain Solution Centers of Delaware
• Julia Paintsil, LPN
• Corinne S Palacio, PA-C
• David Christopher Palange, D.O.
• Kevin Palena, PT, DPT, MS
• Francis Anthony Palermo, M.D.

• Specialist in Newark, DE
• Providers in Newark, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.