Active NPI
Spinal Rehab and Pain Center
- Interventional Pain Medicine Physician
- Philadelphia, PA
National Provider Identifier
1811275936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MD425455
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 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 DirectoryLocations
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.