ADVANCED PAIN CONSULTANTS PA NPI 1477697795

NPI Information

  • NPI: 1477697795
  • Provider Name: ADVANCED PAIN CONSULTANTS, PA
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 1 EXECUTIVE DRIVE
    SUITE 430
    MARLTON, NJ
    ZIP 08053
  • Phone: (856) 489-9822

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NPI Details

ADVANCED PAIN CONSULTANTS, PA is an interventional pain medicine pain medicine in Marlton, NJ. The provider is 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. ADVANCED PAIN CONSULTANTS, PA NPI is 1477697795. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1 EXECUTIVE DRIVE
SUITE 430
MARLTON, NJ
ZIP 08053-572
Phone: (856) 489-9822
Fax: (856) 489-9877

The provider's authorized official is Denise Jackson .
The authorized official title is Administrative Assistant and has the following contact phone number (856) 489-9822.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 9/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain Medicine25MB04736200NEW JERSEYNo
2208VP0014XPain MedicineInterventional Pain Medicine25MA06259700NEW JERSEYNo
3208VP0014XPain MedicineInterventional Pain Medicine25MB04930000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001536163OTHERNEW JERSEYHIGHMARK BLUE SHIELD ID
22221104000OTHERNEW JERSEYAMERIHEALTH HMO ID
33311509OTHERNEW JERSEYAETNA ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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