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NASPAC NJ PLLC
NPI 1629648449
Anesthesiology - Pain Medicine in Bala Cynwyd, PA

Active since June 25, 2021CLIA 39D2241605 · Waiver
100 PRESIDENTIAL BLVD STE 300, BALA CYNWYD, PA 19004(484) 436-2123(484) 436-2338 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Jul 30, 2021, Jun 25, 2021 (3 updates tracked since 2021).

About Naspac Nj Pllc NPPES

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

NASPAC NJ PLLC (NPI 1629648449) is a healthcare organization registered as a pain medicine in Bala Cynwyd, Pennsylvania and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Renee Bogdol, Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1629648449
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameNASPAC NJ PLLC
Location Address100 PRESIDENTIAL BLVD STE 300Bala Cynwyd, PA 19004-1108
Mailing Address100 Presidential Blvd Ste 300Bala Cynwyd, PA 19004-1108 · (484) 436-2123 · Fax (484) 436-2338
Phone(484) 436-2123
Fax(484) 436-2338
Organization SubpartNo
Authorized OfficialRenee BogdolDirector Revenue Cycle · (609) 845-3988
Enumeration DateJune 25, 2021
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1629648449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
100 PRESIDENTIAL BLVD STE 300, Bala Cynwyd, PA 19004
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2241605

Naspac-Nj, PLLC Bala Cynwyd · Bala Cynwyd, PA
Active · expires Oct 29, 2027
CLIA Number39D2241605
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorDr. Sherry Jose
Laboratory Phone(484) 236-2121
Laboratory LocationNaspac-Nj, PLLC Bala Cynwyd100 Presidential Blvd, Suite G1, Bala Cynwyd, PA 19004
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is NASPAC NJ PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1629648449, enumerated as an "organization" on June 25, 2021.

Where is the provider located?

The provider is located at 100 PRESIDENTIAL BLVD STE 300 BALA CYNWYD, PA 19004 and the phone number is (484) 436-2123.

What is the provider's specialty?

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.