EASTERN STATES PAIN SPECIALISTS LIMITED (NPI# 1477937670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477937670 |
| Entity Type | Organization |
| Organization Name | EASTERN STATES PAIN SPECIALISTS LIMITED |
| Practice Address |
15000 Midlantic Dr Ste 102 Mount Laurel NJ 08054-1573 |
| Practice Telephone | 8562555479 |
| Practice Fax Number | 8563938481 |
| Mailing Telephone | 8562555479 |
| Mailing Fax Number | 8563938481 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | DR. SCOTT PELLO (MANAGING PARTNER) |
| Authorized Official Telephone | 8562555479 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
25MA08897600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
15000 MIDLANTIC DR STE 102 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip Code | 08054-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952483349 | Denise Scaringe-dietrich | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2006-10-19 |
| 1285275735 | Kristin Elizabeth Andrews | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-10-07 |
| 1457907354 | Roberta Catullo | Nurse Practitioner | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-08-15 |
| 1891347746 | Rachel Dubitsky | Nurse Anesthetist, Certified Registered | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2019-07-11 |
| 1669962304 | Pamela Rose Blatkiewicz | Registered Nurse | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2018-05-17 |
| 1275033003 | Lori Ann Huntsinger | Nurse Practitioner | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2018-02-19 |
| 1700300647 | Matthew Armand Bardales | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2017-08-02 |
| 1316216054 | Danielle Marie Butchko | Physician Assistant | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-12-27 |
| 1467740811 | Burhan Haleem | Pain Medicine | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-07-19 |
| 1992091888 | Steven Warren Mcgrath | Anesthesiology | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837267 | Samantha Leafey | Behavior Technician | 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 | 2019-12-04 |
| 1306403522 | A-1 Support Coordination Nj | Case Management | 1504 Larchmont Place, Mount Laurel, NJ 08054 | 2019-05-22 |
| 1285129080 | Lincoln Healthcare of New Jersey, LLC | Home Health | 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 | 2018-06-25 |
| 1295238400 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 | 2018-03-14 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1700304706 | Arc of Camden County Essex Lane Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5320 Essex Lane, Mt. Laurel, NJ 08054 | 2017-08-30 |
| 1417472861 | Maggie Garin | Dietitian, Registered | 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 | 2017-08-07 |
| 1891225363 | New Jersey Lice Treatment LLC | Technician, Other | 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 | 2017-06-15 |
| 1225563927 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 761 Grant Ave, Mt Laurel, NJ 08054 | 2017-05-01 |
| Find all providers in zip 08054 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271134 | Us Functional, LLC | Pain Medicine | 813 E Gate Dr Ste C, Mount Laurel, NJ 08054-1238 | 2019-05-23 |
| 1770528754 | Michael J. Paul | Pain Medicine | 3829 Church Rd Ste A, Mount Laurel, NJ 08054-1105 | 2006-06-16 |
| 1467740811 | Burhan Haleem | Pain Medicine | 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 | 2011-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802220 | Spine & Pain Institute of New Jersey | Pain Medicine | 757 Route 202-206, Suite 104, Bridgewater, NJ 08807-0880 | 2020-08-18 |
| 1225680796 | Nj Interventional Pain Management LLC | Pain Medicine | 560 Hudson St Ste 301, Hackensack, NJ 07601-6655 | 2019-07-15 |
| 1780246017 | Premier Pain Centers, LLC | Pain Medicine | 1430 Hooper Ave Ste 205, Toms River, NJ 08753-2895 | 2019-07-08 |
| 1770043515 | Healthcare Pain Centers LLC | Pain Medicine | 362 Us Highway 9 Unit 203, Englishtown, NJ 07726-9224 | 2019-03-20 |
| 1780165829 | Premier Pain Centers, LLC. | Pain Medicine | 561 Cranbury Rd Ste 1, East Brunswick, NJ 08816-5400 | 2018-08-27 |
| 1063993103 | Premier Pain Centers, LLC. | Pain Medicine | 150 Chambers Bridge Rd Ste 201, Brick, NJ 08723-3491 | 2018-08-27 |
| 1720592942 | Pain Associates of Bergen County LLC | Pain Medicine | 294 State Street, Suite 2, Hackensack, NJ 07601 | 2017-11-27 |
| 1811421696 | Precision Spine & Sports Medicine Inc | Pain Medicine | 1346 How Ln Ste 107, North Brunswick, NJ 08902-1728 | 2017-04-18 |
| 1063879971 | Central Pain and Wellness | Pain Medicine | 725 Mill St, Moorestown, NJ 08057-1803 | 2016-01-22 |
| 1457726887 | Warren J Bleiweiss Md Pa | Pain Medicine | 29 Smull Ave, Caldwell, NJ 07006-5011 | 2015-12-10 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.