Active NPI
Pain and Spine Treatment Centers
- Durable Medical Equipment & Medical Supplies
- Burlington, NJ
National Provider Identifier
1760899900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 25MB04709600
- Legal business name
- PAIN AND SPINE TREATMENT CENTERS
- Practice address
- 811 Sunset Rd
Sunset Rd
Burlington, NJ 08016-3645 - Phone
- (856) 461-3226
- Fax
- (610) 237-4138
- NPI assigned
- Jul 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald Dworkin, D.O.
- Title
- President
- Phone
- (610) 237-4612
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 25MB04709600 | NJ | Primary |
Addresses
Primary practice location
811 Sunset Rd
Sunset Rd
Burlington, NJ 08016-3645
Mailing address
1503 Lansdowne Ave
2001
Darby, PA 19023-1330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2182408 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Pain and Spine Treatment Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Burlington, NJ
- NPI 1346627130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Wilmington, DE
- NPI 1578673208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405900800000",
"number": "1760899900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 LANSDOWNE AVE",
"address_2": "2001",
"city": "DARBY",
"state": "PA",
"postal_code": "190231330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 SUNSET RD",
"address_2": "SUNSET RD",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080163645",
"telephone_number": "856-461-3226",
"fax_number": "610-237-4138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND SPINE TREATMENT CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-21",
"last_updated": "2014-07-21",
"status": "A",
"authorized_official_last_name": "DWORKIN",
"authorized_official_first_name": "GERALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-237-4612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "25MB04709600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2182408",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.