Active NPI
Eastern Regional Pain MGT
- Pain Medicine (Anesthesiology) Physician
- Turnersville, NJ
National Provider Identifier
1891004685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 05005840L
- Legal business name
- EASTERN REGIONAL PAIN MGT
- Practice address
- 151 Fries Mill Rd.
Turnersville, NJ 08012 - Phone
- (215) 945-8882
- Fax
- (215) 945-9129
- NPI assigned
- Sep 28, 2010
- Organization subpart
- Yes
- Parent organization
- EASTERN REGIONAL PAIN MANAGEMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas P Costello, DO
- Title
- Pain Doctor Anesthesiology/Pain Man
- Phone
- (215) 945-8882
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 05005840L | PA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MB50806 | NJ |
Addresses
Primary practice location
151 Fries Mill Rd.
Turnersville, NJ 08012
Mailing address
333. S. Oxford Valley Rd.
Ste 606
Fairless Hills, PA 19030
Phone (215) 945-8882
National Provider Directory
National Provider Directory- Part of
- Eastern Regional Pain MGT PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Fort Lauderdale, FL
- NPI 1659570331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1891004685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333. S. OXFORD VALLEY RD.",
"address_2": "STE 606",
"city": "FAIRLESS HILLS",
"state": "PA",
"postal_code": "19030",
"telephone_number": "215-945-8882",
"fax_number": "215-945-9129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 FRIES MILL RD.",
"city": "TURNERSVILLE",
"state": "NJ",
"postal_code": "08012",
"telephone_number": "215-945-8882",
"fax_number": "215-945-9129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN REGIONAL PAIN MGT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EASTERN REGIONAL PAIN MANAGEMENT",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "COSTELLO",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PAIN DOCTOR ANESTHESIOLOGY/PAIN MAN",
"authorized_official_telephone_number": "215-945-8882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "PA",
"license": "05005840L",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "MB50806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Turnersville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.