EASTERN REGIONAL PAIN MGT, PC (NPI# 1497029599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497029599 |
| Entity Type | Organization |
| Organization Name | EASTERN REGIONAL PAIN MGT, PC |
| Practice Address |
151 Fries Mill Rd Turnersville NJ 08012-2016 |
| Mailing Address |
4979 Old Street Rd Suite 1a Trevose PA 19053-6222 |
| Practice Telephone | 8564018864 |
| Practice Fax Number | 2159538822 |
| Mailing Telephone | 2159538882 |
| Mailing Fax Number | 2159538822 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Authorized Official Name | DR. THOMAS P COSTELLO (PRESIDENT) |
| Authorized Official Telephone | 2159538882 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS005840L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
151 FRIES MILL RD |
| City | TURNERSVILLE |
| State | NJ |
| Zip Code | 08012-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019270 | Robert Bruce Schwartz | Internal Medicine | 151 Fries Mill Rd, Suite 400, Turnersville, NJ 08012-2016 | 2005-08-09 |
| 1568996098 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2017-04-11 |
| 1598203267 | Kennedy Medical Group Practice P.C. | Internal Medicine | 151 Fries Mill Rd, Suite 100, Turnersville, NJ 08012-2016 | 2017-02-02 |
| 1740648807 | Dorothy Wiegand | Nurse Practitioner | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2016-02-04 |
| 1760849301 | Caroline Greene | Nurse Practitioner | 151 Fries Mill Rd, Suite 301, Turnersville, NJ 08012-2016 | 2016-01-27 |
| 1003212788 | Ra Pain Services, P.a. | Anesthesiology | 151 Fries Mill Rd, Suite 202, Turnersville, NJ 08012-2016 | 2014-11-07 |
| 1477982056 | Cristina Elizabeth Mazzeo | Counselor | 151 Fries Mill Rd, Suite 201, Turnersville, NJ 08012-2016 | 2013-11-05 |
| 1588006092 | Hope Ann Fitzgerald | Social Worker | 151 Fries Mill Rd, Turnersville, NJ 08012-2016 | 2013-07-25 |
| 1437493046 | Frank C. Mcmanus, Ph.d., PC | Counselor | 151 Fries Mill Rd, Suite 305, Turnersville, NJ 08012-2016 | 2012-11-20 |
| 1730432774 | Tricia Lynne Yeo | Dietetic Technician, Registered | 151 Fries Mill Rd, Suite 201, Turnersville, NJ 08012-2016 | 2012-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898550 | Caroline I Scott | In Home Supportive Care | 60 Lawrence Ln, Blackwood, NJ 08012 | 2020-07-17 |
| 1073154092 | Gina Marie Romano | Behavioral Analyst | 12 Braemar Ave, Blackwood, NJ 08012 | 2019-10-01 |
| 1245745777 | Chandler Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3408 Hight Street, Blackwood, NJ 08012 | 2017-12-06 |
| 1962917625 | Dpsp Health Care LLC | Home Health | 860 Rt. 168, Suite 207, Turners Ville, NJ 08012 | 2017-12-04 |
| 1871003103 | Sayana Modi LLC | Pharmacy | 460 Hurffville Crosskeys Rd, Tunersville, NJ 08012 | 2017-09-30 |
| 1427590827 | Cillo Chiropractic LLC | Chiropractor | 10 Woodlane Drive, Blackwood, NJ 08012 | 2016-11-16 |
| 1609327006 | Lena F Robinson | Registered Nurse | 435 Huffville Crosskeys Road, Turnersville, NJ 08012 | 2016-10-20 |
| 1316493026 | Partners In Homecare Services | In Home Supportive Care | 400 East Church St ., Blackwood, NJ 08012 | 2016-09-01 |
| 1710357710 | Wendy Hughes | Counselor | 900 Route 168 Ste B6, Turnersville, NJ 08012 | 2015-10-02 |
| 1043602337 | Erika White | Pharmacy Technician | 4001 State Route 42, Turnersville, NJ 08012 | 2015-02-24 |
| Find all providers in zip 08012 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891004685 | Eastern Regional Pain Mgt | Anesthesiology | 151 Fries Mill Rd., Turnersville, NJ 08012 | 2010-09-28 |
| 1003212788 | Ra Pain Services, P.a. | Anesthesiology | 151 Fries Mill Rd, Suite 202, Turnersville, NJ 08012-2016 | 2014-11-07 |
| 1346568797 | Anish Doshi | Anesthesiology | 151 Fries Mill Rd, Suite 202, Turnersville, NJ 08012-2016 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
| City | TURNERSVILLE |
| Zip Code | 08012 |
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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.