Organization Active NPI

Spinal Rehab and Pain Center

  • Interventional Pain Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1811275936
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD425455 Issued in PA
Legal business name
SPINAL REHAB AND PAIN CENTER
Practice address
4723 Pine St
Philadelphia, PA 19143-1831
Phone
(267) 292-3215
Fax
(267) 292-3451
NPI assigned
Jul 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Authorized official

Name
Dr. Gene Levenstein, M.D., DABPM, DABPMR
Title
Clinic Director
Phone
(267) 292-3215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X MD425455 PA Primary

Addresses

Primary practice location

4723 Pine St
Philadelphia, PA 19143-1831

Mailing address

4723 Pine St
Philadelphia, PA 19143-1831
Phone (267) 292-3215

National Provider Directory

National Provider Directory

Locations

4723 Pine St
Philadelphia, PA 19143
Phone (215) 366-7141

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1811275936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4723 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431831",
            "telephone_number": "267-292-3215",
            "fax_number": "267-292-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 PINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431831",
            "telephone_number": "267-292-3215",
            "fax_number": "267-292-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL REHAB AND PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "LEVENSTEIN",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "267-292-3215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., DABPM, DABPMR"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD425455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.