Pain Relief Center of South Jersey LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

PAIN RELIEF CENTER OF SOUTH JERSEY LLC

Practice address

130 Gaither Drive.
Mount Laurel, NJ 08054

Phone

(856) 722-7000

Fax

(866) 202-7134

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Gary B Buck, MD/.RP.H.

Title

Head Physician

Phone

(856) 255-5479

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1942698436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 APPLE ORCHARD ROAD 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-866-0711",
            "fax_number": "856-793-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GAITHER DRIVE.",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-722-7000",
            "fax_number": "866-202-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CENTER OF SOUTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HEAD PHYSICIAN",
        "authorized_official_telephone_number": "856-255-5479",
        "authorized_official_credential": "MD/.RP.H."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Orwig, LSW
• Juliette Osborne, NURSE PRACTITIONER
• Our Lady of Lourdes Medical Center
• Andrea J Pagan, RBT
• Deloras Lillie Pagan
• Molly Pak, PA-C
• Nicole Erin Palmer, MS, CCC-SLP
• Nirmala Panda, MD
• Brandee N Pandy
• Lenora Panetta-Hagan, RBT

• Pain Clinic/Center in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.