Modern Spine and Pain PC
NPI 1174240352 · Pain Medicine Physician · West Deptford, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Spine and Pain PC is a Pain Medicine Physician organization in West Deptford, NJ (NPI 1174240352).
Provider details
- NPI number
- 1174240352
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Ricca, Administrator(215) 651-8180
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2023-02-24
- Certified
- 2023-02-24
Frequently asked questions
- What is Modern Spine and Pain PC's NPI number?
- Modern Spine and Pain PC's National Provider Identifier (NPI) is 1174240352, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Spine and Pain PC?
- Modern Spine and Pain PC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Spine and Pain PC located?
- Modern Spine and Pain PC's practice location on file with NPPES is 196 Grove Ave Ste E, West Deptford, NJ 08086-2139.
- What is Modern Spine and Pain PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Spine and Pain PC is (856) 900-0041.
- Does Modern Spine and Pain PC accept Medicare?
- Modern Spine and Pain PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modern Spine and Pain PC?
- The authorized official listed on Modern Spine and Pain PC's NPPES record is Amanda Ricca, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Spine and Pain PC's NPI active?
- Yes — Modern Spine and Pain PC's NPI (1174240352) is active in the NPPES registry as of the last update on 2023-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.