ADVANCED PAIN CONSULTANTS, PA
NPI 1477697795
Pain Medicine - Interventional Pain Medicine in Marlton, NJ

Q: What is Advanced Pain Consultants, PA's NPI number?

The NPI number for Advanced Pain Consultants, PA is 1477697795. It was assigned to this organization in the NPPES registry on February 19, 2007.

Q: What is Advanced Pain Consultants, PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since February 19, 2007

1 EXECUTIVE DRIVE, SUITE 430, MARLTON, NJ 08053(856) 489-9822(856) 489-9877 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, May 15, 2018 (2 updates tracked since 2018).

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About Advanced Pain Consultants, Pa NPPES

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

ADVANCED PAIN CONSULTANTS, PA (NPI 1477697795) is a healthcare organization registered as an interventional pain medicine in Marlton, New Jersey and active in the NPI registry since February 2007. The organization lists Denise Jackson, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1477697795

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameADVANCED PAIN CONSULTANTS, PA

Location Address1 EXECUTIVE DRIVE, SUITE 430Marlton, NJ 08053-9572

Mailing Address1 Executive Drive, Suite 430Marlton, NJ 08053-9572 · (856) 489-9822 · Fax (856) 489-9877

Phone(856) 489-9822

Fax(856) 489-9877

Organization SubpartNo

Authorized OfficialDenise JacksonAdministrative Assistant · (856) 489-9822

Enumeration DateFebruary 19, 2007

Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1477697795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Licenses✔ Licensed in NJ · 25MB04930000✔ Licensed in NJ · 25MB04736200✔ Licensed in NJ · 25MA06259700

Definition

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.

1 EXECUTIVE DRIVE, Marlton, NJ 08053

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Other Identifiers 3

Other001536163NJ · Highmark Blue Shield Id

Other2221104000NJ · Amerihealth Hmo Id

Other3311509NJ · Aetna Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pain Consultants, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Pain Consultants, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kenneth Rogers, DO

Interventional Pain Management

NPI 1992723035

1 EXECUTIVE DRIVE SUITE 430
Marlton, NJ 08053

(856) 489-9822

✔ PECOS✔ Accepts MedicareSame address

Stephen Boyajian, DO

Interventional Pain Management

NPI 1073547311

601 ROUTE 73 N STE 101
Marlton, NJ 08053

(856) 355-7130

✔ PECOS✔ Accepts Medicare2.5 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 Advanced Pain Consultants, PA's NPI number?

The NPI number for Advanced Pain Consultants, PA is 1477697795. It was assigned to this organization in the NPPES registry on February 19, 2007.

Where is Advanced Pain Consultants, PA located?

Advanced Pain Consultants, PA is located at 1 Executive Drive Suite 430, Marlton, NJ 08053. The listed phone number is (856) 489-9822.

What is Advanced Pain Consultants, PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Advanced Pain Consultants, PA enrolled in Medicare?

Yes. Advanced Pain Consultants, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Pain Consultants, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Interventional Pain Management, reassign their Medicare billing to Advanced Pain Consultants, PA. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Pain Consultants, PA was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.