Provider Demographics
NPI:1225589534
Name:PAIN CONTROL ASSOCIATES PC
Entity Type:Organization
Organization Name:PAIN CONTROL ASSOCIATES PC
Other - Org Name:PAIN MANAGEMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:P
Authorized Official - Last Name:PLOTNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-890-4080
Mailing Address - Street 1:2271 HIGHWAY 33 STE 103
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1749
Mailing Address - Country:US
Mailing Address - Phone:609-890-4080
Mailing Address - Fax:609-890-4090
Practice Address - Street 1:1201 NEW RD STE 120
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1152
Practice Address - Country:US
Practice Address - Phone:888-407-5985
Practice Address - Fax:856-566-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05475100208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7554260003OtherMEDICARE NSC
NJ7554260003OtherMEDICARE DMEPOS
NJ7554260003OtherMEDICARE DMEPOS