Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MODERN SPINE AND PAIN PC
NPI 1174240352
Pain Medicine - Pain Medicine in West Deptford, NJ

Active since October 27, 2022
196 GROVE AVE STE E, WEST DEPTFORD, NJ 08086(856) 900-0041 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2026, Feb 24, 2023, Oct 27, 2022 (3 updates tracked since 2022).

About Modern Spine And Pain Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN SPINE AND PAIN PC (NPI 1174240352) is a healthcare organization registered as a pain medicine in West Deptford, New Jersey and active in the NPI registry since October 2022. The organization lists Josephine Pribble, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1174240352
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameMODERN SPINE AND PAIN PC
Location Address196 GROVE AVE STE EWest Deptford, NJ 08086-2139
Mailing AddressPo Box 358Douglassville, PA 19518-0358
Organization SubpartNo
Authorized OfficialJosephine PribbleCredentialing · (484) 394-2794
Enumeration DateOctober 27, 2022
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1174240352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedSpecialistTaxonomy 174400000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
196 GROVE AVE STE E, West Deptford, NJ 08086

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Spine And Pain Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Modern Spine And Pain PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pain Management
NPI 1598928608
196 GROVE AVE STE E
West Deptford, NJ 08086
(856) 900-0041
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538756432
300 W ROUTE 38 STE A
Moorestown, NJ 08057
(609) 267-9400
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Spine And Pain PC's NPI number?

The NPI number for Modern Spine And Pain PC is 1174240352. It was assigned to this organization in the NPPES registry on October 27, 2022.

Where is Modern Spine And Pain PC located?

Modern Spine And Pain PC is located at 196 Grove Ave Ste E, West Deptford, NJ 08086. The listed phone number is (856) 900-0041.

What is Modern Spine And Pain PC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Modern Spine And Pain PC enrolled in Medicare?

Yes. Modern Spine And Pain PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Spine And Pain PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Modern Spine And Pain PC, in Nurse Practitioner and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Modern Spine And Pain PC accept?

Health plans from Oscar Health list Modern Spine And Pain PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Modern Spine And Pain PC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.