Active NPI
Greater Philadelphia Pain Management Center P.C.
- Chiropractor
- Philadelphia, PA
National Provider Identifier
1821390923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007401L
- Legal business name
- GREATER PHILADELPHIA PAIN MANAGEMENT CENTER P.C.
- Practice address
- 2612 Rhawn St
Philadelphia, PA 19152-3415 - Phone
- (215) 338-8555
- Fax
- (215) 338-8031
- NPI assigned
- Nov 22, 2010
- 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
- Gene Levinstein, MD
- Title
- Physician
- Phone
- (215) 957-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007401L | PA | Primary |
Addresses
Primary practice location
2612 Rhawn St
Philadelphia, PA 19152-3415
Mailing address
104 Bailey Dr
North Wales, PA 19454-4526
Phone (215) 962-6031
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081342000 | Other | PA | KEYSTONE |
| 416307 | Other | PA | HIGHMARK |
| 3341682 | Other | PA | AETNA |
| CIGNA | Other | PA | 1046273 |
National Provider Directory
National Provider Directory- Tax ID family
- Greater Phialdelphia Pain Management
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Philadelphia, PA
- NPI 1588974588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305158400000",
"number": "1821390923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BAILEY DR",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194544526",
"telephone_number": "215-962-6031",
"fax_number": "215-957-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 RHAWN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523415",
"telephone_number": "215-338-8555",
"fax_number": "215-338-8031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER PHILADELPHIA PAIN MANAGEMENT CENTER P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-22",
"last_updated": "2011-05-12",
"status": "A",
"authorized_official_last_name": "LEVINSTEIN",
"authorized_official_first_name": "GENE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "215-957-5400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007401L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "0081342000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "416307",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3341682",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1046273",
"identifier": "CIGNA",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Greater Philadelphia Health Action, Inc.
- Greater Philadelphia Health Action, Inc.
- Greater Philadelphia Home Care LLC
- Greater Philadelphia Home Healthcare
- Greater Philadelphia Individual and Family Therapy
- Greater Philadelphia Pain Management Center PC
- Kathleen V Greatrex, MD
- Ashley Sandra Greb, PA-C
- Katie Lee Greble, MA ATR-BC LPC
- Patrick Ronald Grecco, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.