Organization Active NPI

Regenerative Pain Specialist, PC

  • Interventional Pain Medicine Physician
  • Villanova, PA
National Provider Identifier
1891250767
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
REGENERATIVE PAIN SPECIALIST, PC
Practice address
725 Darby Paoli Rd
Villanova, PA 19085-1008
Phone
(610) 574-6510
NPI assigned
Feb 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Mr. Frank Scardino
Title
Manager
Phone
(610) 574-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

725 Darby Paoli Rd
Villanova, PA 19085-1008

Mailing address

725 Darby Paoli Rd
Villanova, PA 19085-1008
Phone (610) 574-6510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1891250767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 DARBY PAOLI RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851008",
            "telephone_number": "610-574-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 DARBY PAOLI RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851008",
            "telephone_number": "610-574-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE PAIN SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "SCARDINO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-574-6510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.