Atlantic Pain and Wellness Institute PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

ATLANTIC PAIN AND WELLNESS INSTITUTE PC

Practice address

333 E City Line Ave Ste PL20
Bala Cynwyd, PA 19004-1507

Phone

(610) 664-3000

Fax

(610) 664-3003

NPI assigned

Jun 25, 2006

Last updated

Nov 21, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sanjay Gupta, DONPI 1215963038

Title

President

Phone

(610) 664-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sanjay Gupta, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bala Cynwyd, PA
  • NPI 1215963038
  Medicare reassignment NPD Authorized official
• Herbert N Avart, DO

  • Rehabilitation Practitioner
  • Broomall, PA
  • NPI 1861446908
  NPD (past)
• Stephen L Fedder, M.D.

  • Neurological Surgery Physician
  • Haverford, PA
  • NPI 1851390272
  NPD (past)
• Jong Min Lee, D.P.M

  • Podiatrist
  • Philadelphia, PA
  • NPI 1205915444
  NPD (past)
• Lauren Marie Ziegler, PA-C

  • Medical Physician Assistant
  • Havertown, PA
  • NPI 1881944007
  NPD (past)
• Howard Z Arian, MD

  • Pain Medicine (Anesthesiology) Physician
  • Dover, DE
  • NPI 1639153778
  NPD (past)
• Kavita Gupta, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Voorhees, NJ
  • NPI 1699745828
  NPD (past)
• Ashraf Sakr, MD

  • Pain Medicine (Anesthesiology) Physician
  • Hamilton, NJ
  • NPI 1679655385
  NPD (past)
• Aubrey Vincent Verdun, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Rockville, MD
  • NPI 1871675579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1104852656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WYNNEWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431657",
            "telephone_number": "610-664-3000",
            "fax_number": "610-664-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CITY LINE AVE STE PL20",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041507",
            "telephone_number": "610-664-3000",
            "fax_number": "610-664-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191343817",
            "country_code": "US",
            "telephone_number": "610-664-3000",
            "fax_number": "610-664-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9140 Academy Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19114",
            "country_code": "US",
            "telephone_number": "610-664-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC PAIN AND WELLNESS INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-664-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.