Modern Spine And Pain PC
Healthcare Provider in West Deptford, New Jersey
1174240352- Practice location
- 196 Grove Ave Ste E, West Deptford, NJ 08086-2139
- Phone
- 856-900-0041
- Fax
- —
- Last updated
- October 1, 2026
Modern Spine And Pain PC is a healthcare organization based in West Deptford, NJ. Modern Spine And Pain PC practices in West Deptford, NJ. The NPI Number for Modern Spine And Pain PC is 1174240352. The current practice location address for Modern Spine And Pain PC is 196 Grove Ave Ste E, West Deptford, NJ 08086-2139 and can be reached out via phone at 856-900-0041.
Provider Profile Details
- NPI Number
- 1174240352
- Provider Name
- Modern Spine And Pain PC
- Provider Entity Type
- Organization
- Address
- 196 Grove Ave Ste E, West Deptford, NJ 08086-2139
- Phone Number
- 856-900-0041
- Primary Taxonomy
- Healthcare Provider · 208VP0000X
- Organization Subpart
- No
- Authorized Official
- Josephine Pribble · Credentialing · 484-394-2794
- Provider Enumeration Date
- October 27, 2022
- Last Update Date
- October 1, 2026
- Certification Date
- October 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 196 Grove Ave Ste E
West Deptford, NJ 08086-2139 - City
- West Deptford
- State
- New Jersey
- Zip
- 08086-2139
- Phone Number
- 856-900-0041
Provider Business Mailing Address Details
- Address
- Po Box 358
Douglassville, PA 19518-0358 - City
- Douglassville
- State
- PA
- Zip
- 19518-0358
License Information
- Taxonomy (1)
- Specialist · 174400000X
- Taxonomy (2)
- Physical Medicine & Rehabilitation, Pain Medicine · 2081P2900X
- Taxonomy (4)
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Modern Spine And Pain PC?
The NPI number of Modern Spine And Pain PC is 1174240352. It was assigned on October 27, 2022 and is currently active in the NPPES registry.
What is the specialty of Modern Spine And Pain PC?
Modern Spine And Pain PC is registered under the primary taxonomy Healthcare Provider (code 208VP0000X).
Where does Modern Spine And Pain PC practice?
The practice location is 196 Grove Ave Ste E, West Deptford, NJ 08086-2139. The office can be reached at 856-900-0041 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174240352 directly on the NPPES registry website.