Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Spine and Pain PC

Organization Specialist · NPI 1174240352

Modern Spine and Pain PC is a Specialist in West Deptford, New Jersey. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

196 Grove Ave Ste E
West Deptford, NJ 08086-2139
Phone: (856) 900-0041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Specialist Taxonomy 174400000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1174240352
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Ricca — Administrator · (215) 651-8180
NPI enumeratedOctober 27, 2022
Last updated in NPPESFebruary 24, 2023
Certification dateFebruary 24, 2023
Mailing addressPo Box 358, Douglassville, PA 19518-0358

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