Advanced Pain Consultants, PA
NPI 1477697795ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Marlton, NJ
Pain Medicine, Interventional Pain Medicine in Marlton, New Jersey, registered in NPPES in February 2007. The authorized official on file is Denise Jackson, Administrative Assistant. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477697795 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2007 |
| Last updated in NPPES | Sep 17, 2024 |
| Certified by provider | Sep 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | 25MB04930000 | NJ |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 25MB04736200 | NJ |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 25MA06259700 | NJ |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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