Organization Active NPI

Rehab Partners in Pain Management

  • Interventional Pain Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1871712869
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MA06921900 Issued in NJ
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8070903MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.