ADVANCED SPINE AND PAIN LLC
Complete NPI Record 1730359084
Pain Medicine - Interventional Pain Medicine in Hammonton, NJ

Active since March 03, 2008

2 8TH ST, HAMMONTON, NJ 08037(888) 985-2727(856) 779-0211 Get Directions

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2026, Feb 25, 2025, Dec 17, 2024 and 5 more (8 updates tracked since 2019).

Complete NPI Dataset

This page contains the complete raw NPPES record for Advanced Spine And Pain Llc (NPI 1730359084), a pain medicine organization in Hammonton, NJ. All 52 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

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Registry File Document Utilities

NPI: 1730359084: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available: The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: ADVANCED SPINE AND PAIN LLC: The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: Not available: Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 6: Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 201 DEFENSE HWY STE 260: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: ANNAPOLIS: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: MD: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 214017096: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 8889852727: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 8567790211: The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 2 8TH ST: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: HAMMONTON: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NJ: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 080373347: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8889852727: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 8567790211: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/3/2008: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/15/2026: The date that a record was last updated or changed.
Authorized Official Last Name: FREAS: The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: DAMEAN: The first name of the authorized official.
Authorized Official Title or Position: CEO: The title or position of the authorized official.
Authorized Official Telephone Number: 8889852727: The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 103TC0700X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 207LP2900X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 2: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 3: 2081P2900X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 3: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 4: 2084N0400X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 4: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 5: 332B00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 5: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 6: 235Z00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 6: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 7: 103G00000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 7: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 8: 208VP0014X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 8: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N: Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Authorized Official Credential Text: DO: The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP: Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
NPI Certification Date: 6/15/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Other Organization Names 1

Additional business and trade names this provider has on file with the NPPES registry.

Relievus Doing Business As

1/1

Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.

Secondary Practice Locations 26

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

429 White Horse Pike

1/26

Atco, NJ 08004-2227 · Phone (888) 985-2727

27 S Cooks Bridge Rd Ste 2-11

2/26

Jackson, NJ 08527-2463 · Phone (888) 985-2727

3100 Hingston Ave Ste 104

3/26

Egg Harbor Township, NJ 08234-4409 · Phone (888) 985-2727

3535 Quakerbridge Rd Ste 200

4/26

Hamilton, NJ 08619-1200 · Phone (888) 985-2727

1400 Route 70 E

5/26

Cherry Hill, NJ 08034-2240 · Phone (888) 985-2727

2333 Morris Ave Ste C109

6/26

Union, NJ 07083-5717 · Phone (855) 527-7246 · Fax (866) 229-5063

2760 Century Blvd Ste 2

7/26

Wyomissing, PA 19610-3359 · Phone (888) 985-2727

700 E Township Line Rd

8/26

Havertown, PA 19083-5733 · Phone (888) 985-2727

9815 Roosevelt Blvd Ste J

9/26

Philadelphia, PA 19114-1035 · Phone (888) 985-2727

400 Cresson Blvd Ste 110

10/26

Phoenixville, PA 19460-6144 · Phone (888) 985-2727

310 Egg Harbor Rd

11/26

Sewell, NJ 08080-1854 · Phone (888) 985-2727

40 Bey Lea Rd Ste C203

12/26

Toms River, NJ 08753-2974 · Phone (888) 985-2727

205 May St Ste 202

13/26

Edison, NJ 08837-3267 · Phone (732) 416-8800 · Fax (732) 410-4295

2301 E Evesham Rd Ste 113

14/26

Voorhees, NJ 08043-4509 · Phone (888) 985-2727

2301 E Evesham Rd Ste 209

15/26

Voorhees, NJ 08043-4509 · Phone (888) 985-2727

227 Madison Ave

16/26

Lumberton, NJ 08048-2901 · Phone (888) 985-2727

1820 Corlies Avenue, Suite 10A

17/26

Neptune City, NJ 07753 · Phone (888) 985-2727

2186 Rte 27 Ste 2D

18/26

North Brunswick, NJ 08902-1137 · Phone (888) 985-2727

4307 Westfield Ave

19/26

Pennsauken, NJ 08110-3023 · Phone (888) 985-2727

750 Mantua Pike

20/26

Woodbury Heights, NJ 08097-1142 · Phone (888) 985-2727

415 W Landis Ave Ste 102

21/26

Vineland, NJ 08360-8135 · Phone (888) 985-2727

1 Third St Ste 309

22/26

Old Bridge, NJ 08857 · Phone (732) 416-8800 · Fax (732) 410-4295

1929 Fruitville Pike

23/26

Lancaster, PA 17601-3915 · Phone (888) 985-2727

1177 Highway 315 Blvd

24/26

Wilkes Barre, PA 18702-6928 · Phone (888) 985-2727

75 Lincoln Hwy

25/26

Iselin, NJ 08830-1533 · Phone (888) 985-2727 · Fax (856) 779-0211

2200 Hamilton St Ste 209

26/26

Allentown, PA 18104-6329 · Phone (888) 985-2727

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