Organization Active NPI

Jsapm

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Norfolk, VA
National Provider Identifier
1912784257
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
JSAPM
Practice address
6275 E Virginia Beach Blvd Ste 303
Norfolk, VA 23502-2851
Phone
(757) 461-3141
Fax
(757) 461-1658
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Amanda Moran, DONPI 1992231039
Title
Member
Phone
(757) 461-3141

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

6275 E Virginia Beach Blvd Ste 303
Norfolk, VA 23502-2851

Mailing address

6275 E Virginia Beach Blvd Ste 303
Norfolk, VA 23502-2851
Phone (757) 461-3141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506000881 VA Part B Supplier - Clinic/Group Practice 2365882552 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

6275 E Virginia Beach Blvd
Ste 303
Norfolk, VA 23502
Phone (757) 461-3141

6275 E Virginia Beach Blvd
Ste 3
Norfolk, VA 23502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1912784257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 303",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-461-3141",
            "fax_number": "757-461-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 303",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-461-3141",
            "fax_number": "757-461-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSAPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-461-3141",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.