EASTERN STATES PAIN SPECIALISTS LIMITED
NPI 1477937670
Pain Medicine - Interventional Pain Medicine in Mount Laurel, NJ

Q: What is the provider's specialty?

The provider's specialty is Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

Active since July 17, 2015

15000 MIDLANTIC DR STE 102, MOUNT LAUREL, NJ 08054(856) 255-5479(856) 393-8481 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Pain Medicine
Interventional Pain Medicine

About EASTERN STATES PAIN SPECIALISTS LIMITED

This page provides the complete NPI Profile along with additional information for Eastern States Pain Specialists Limited, a provider established in Mount Laurel, New Jersey operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1477937670 assigned on July 2015. The practitioner's primary taxonomy code is 208VP0014X with license number 25MA08897600 (NJ). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Scott Pello M.d. (Managing Partner)

NPI: 1477937670 Verify this NPI
Provider Name: EASTERN STATES PAIN SPECIALISTS LIMITED
Entity Type: Organization
Location Address: 15000 MIDLANTIC DR STE 102 MOUNT LAUREL, NJ 08054
Location Phone: (856) 255-5479
Location Fax: (856) 393-8481
Mailing Address: 15000 MIDLANTIC DR STE 102 MOUNT LAUREL, NJ 08054
Mailing Phone: (856) 255-5479
Mailing Fax: (856) 393-8481
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-17-2015
Last Update Date: 07-17-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pain Medicine Interventional Pain Medicine
Taxonomy Code: 208VP0014X
Type: Allopathic & Osteopathic Physicians
License No.: 25MA08897600
License State: NJ
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. SCOTT PELLO M.D.
Authorized Official Title: MANAGING PARTNER
Authorized Official Phone: (856) 255-5479