NPIMap

Organization Active NPI

Naspac-NJ PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Willow Grove, PA
National Provider Identifier
1972151207
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NASPAC-NJ PLLC
Practice address
2325 Maryland Rd Ste 100
Willow Grove, PA 19090-1758
Phone
(215) 657-1315
Fax
(215) 659-8964
NPI assigned
Aug 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Renee Bogdol, AM
Title
Director Revenue Cycle
Phone
(609) 845-3988

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

2325 Maryland Rd Ste 100
Willow Grove, PA 19090-1758

Mailing address

404 Creek Crossing Blvd Ste 404
Hainesport, NJ 08036-2768
Phone (609) 845-3988

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2139067Naspac - NJ, PLLC (WG)2325 Maryland Ave, Willow Grove, PA 19090Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

495 Thomas Jones Way
Ste 304
Exton, PA 19341
Phone (484) 879-6508

930 Town Center Dr
Ste F50
Langhorne, PA 19047
Phone (267) 352-3990

2325 Maryland Rd
Willow Grove, PA 19090
Phone (215) 957-9250

2325 Maryland Rd
Ste 100
Willow Grove, PA 19090
Phone (215) 657-1315

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1972151207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CREEK CROSSING BLVD STE 404",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080362768",
            "telephone_number": "609-845-3988",
            "fax_number": "609-288-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 MARYLAND RD STE 100",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901758",
            "telephone_number": "215-657-1315",
            "fax_number": "215-659-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASPAC-NJ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "BOGDOL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "609-845-3988",
        "authorized_official_credential": "AM"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.