Eastern States Pain Specialists, LLC
NPI 1225409980ActiveOrganization· Pain Medicine, Pain Medicine· Mount Laurel, NJ
Pain Medicine, Pain Medicine in Mount Laurel, New Jersey, registered in NPPES in October 2015, part of Ra Pain Services, PA. The authorized official on file is Jeffrey Gordon, M.D., Authorized Official.
Overview
| NPI | 1225409980 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ra Pain Services, PA |
| NPI issued | Oct 7, 2015 |
| Last updated in NPPES | Oct 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Pain Medicine Primary | 208VP0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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