Active NPI
Rehab Partners in Pain Management
- Interventional Pain Medicine Physician
- Moorestown, NJ
National Provider Identifier
1871712869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- MA06921900
- Legal business name
- REHAB PARTNERS IN PAIN MANAGEMENT
- Practice address
- 110 Marter Ave
Suite 412
Moorestown, NJ 08057-3124 - Phone
- (732) 281-3590
- NPI assigned
- Apr 25, 2007
- 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
- Dana Sibilia
- Title
- Manager
- Phone
- (732) 281-3590
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | MA06921900 | NJ | Primary |
Addresses
Primary practice location
110 Marter Ave
Suite 412
Moorestown, NJ 08057-3124
Mailing address
110 Marter Ave
Suite 412
Moorestown, NJ 08057-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8070903 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
110 Marter Ave
Ste 412
Moorestown, NJ 08057
Phone (856) 235-4112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1871712869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MARTER AVE",
"address_2": "SUITE 412",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MARTER AVE",
"address_2": "SUITE 412",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573124",
"telephone_number": "732-281-3590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB PARTNERS IN PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SIBILIA",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-281-3590"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NJ",
"license": "MA06921900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8070903",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.