Pain Management of Berks County

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD057525-L Issued in PA

Legal business name

PAIN MANAGEMENT OF BERKS COUNTY

Practice address

3933 Perkiomen Ave
Suite E1
Reading, PA 19606-2756

Phone

(610) 779-9292

Fax

(610) 779-3937

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Patrick Borja, D.C.

Title

Owner

Phone

(610) 779-4588

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1841748324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 PERKIOMEN AVE",
            "address_2": "SUITE E1",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062756",
            "telephone_number": "610-779-9292",
            "fax_number": "610-779-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 PERKIOMEN AVE",
            "address_2": "SUITE E1",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062756",
            "telephone_number": "610-779-9292",
            "fax_number": "610-779-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF BERKS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-779-4588",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD057525-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AK001180",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MSG004016",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MSG001568",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MSG001153",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MSG00541",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela P Pacheco
• Cecily Pachuilo
• Cynthia L Pachuta
• Ramdas B Padiyar, M.D
• Pain Assessment Intervention Neuromuscular Clinic, PC (Pain Clinic, PC)
• Jason Reed Painter, CRNP
• Pearl N Pakdi, MD
• Louis Mario Palacios, D.D.S.
• Pushpalu Paladugu
• Danielle Palermo

• Medical Specialty Clinic/Center in Reading, PA
• Providers in Reading, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.