Healthcare Provider Details

I. General information

NPI: 1700705944
Provider Name (Legal Business Name): GAMECHANGER PAIN & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 KINGS HWY S
CHERRY HILL NJ
08034-2520
US

IV. Provider business mailing address

402 MAIN ST STE 100-249
METUCHEN NJ
08840-1846
US

V. Phone/Fax

Practice location:
  • Phone: 914-329-4816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY S ESPOSITO
Title or Position: ADMIN
Credential: ESPOSITO
Phone: 718-801-3002