Active NPI
Michael J. Paul, D.O.
- Interventional Pain Medicine Physician
- Marlton, NJ
National Provider Identifier
1770528754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 25MB07847800
- Practice address
- 851 Route 73 N Ste D
Marlton, NJ 08053-1275 - Phone
- (856) 372-9422
- Fax
- (856) 409-0393
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 25MB07847800 | NJ | Primary |
Addresses
Primary practice location
851 Route 73 N Ste D
Marlton, NJ 08053-1275
Mailing address
851 Route 73 N Ste D
Marlton, NJ 08053-1275
Phone (856) 372-9422
Other practice location 1
3069 English Creek Ave Ste 201
Egg Harbor Township, NJ 08234-9708
Phone (856) 372-9422
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Rehab and Spine Inc | Interventional Pain Medicine | Current | Accepting new patients |
| Fellowship Surgical Center LLC | Current | Accepting new patients | |
| Neurosurgical & Spinal Specialists, LLC | Current | Accepting new patients |
Locations
851 Route 73 N
Ste D
Marlton, NJ 08053
Phone (856) 372-9422
3829 Church Rd
#A
Mount Laurel, NJ 08054
Phone (856) 372-9422
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEGHCD/Endpoint/JEGHCD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurological Surgery Physician
- Marlton, NJ
- NPI 1134624778
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Egg Harbor Township, NJ
- NPI 1548999279
Interventional Pain Medicine
-
- Ambulatory Surgical Clinic/Center
- Mount Laurel, NJ
- NPI 1952623936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1770528754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 ROUTE 73 N STE D",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531275",
"telephone_number": "856-372-9422",
"fax_number": "856-409-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 ROUTE 73 N STE D",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080531275",
"telephone_number": "856-372-9422",
"fax_number": "856-409-0393"
}
],
"practiceLocations": [
{
"address_1": "3069 English Creek Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Egg Harbor Township",
"state": "NJ",
"postal_code": "082349708",
"country_code": "US",
"telephone_number": "856-372-9422",
"fax_number": "856-409-0393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "25MB07847800",
"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 Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.