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

Eastern States Pain Specialists, LLC

Organization Pain Medicine Physician · NPI 1225409980

Eastern States Pain Specialists, LLC provides Pain Medicine Physician services in Mount Laurel, New Jersey. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15000 Midlantic Dr
Mount Laurel, NJ 08054-1573 Not confirmed with CMS for 10 years — call before visiting
Phone: (856) 855-5479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1225409980
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRa Pain Services, PA
Authorized official Jeffrey Gordon — Authorized Official · (201) 667-5568
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 7, 2015
Mailing addressPo Box 4604, Lancaster, PA 17604-4604

Other providers in Mount Laurel