Pain Care Associates PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA06259700 Issued in NJ

Legal business name

PAIN CARE ASSOCIATES PA

Practice address

120 Madison Ave
Suite D
Mount Holly, NJ 08060-2055

Phone

(609) 365-0794

Fax

(609) 489-5354

NPI assigned

Feb 23, 2011

Last updated

Feb 23, 2011By 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. Rakesh Chander Gupta, M.D.NPI 1639197783

Title

President

Phone

(609) 509-1945

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Rakesh Chander Gupta, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mount Holly, NJ
  • NPI 1639197783
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1275830580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080550095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MADISON AVE",
            "address_2": "SUITE D",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602055",
            "telephone_number": "609-365-0794",
            "fax_number": "609-489-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_middle_name": "CHANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-509-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA06259700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Olivo
• Gabriela Beatriz Ortiz
• Tamara Osterhout, MS, LAT
• Leona Yvetta Owusu Dapaah
• Jubril Oyekanmi Oyeyemi, M.D.
• Rutvik Pandya
• John Lochiel Panico, MD
• Alexander Park
• Suzanne Parra, CRNA
• Alexa Parrish, DMD

• Pain Medicine (Anesthesiology) Physician in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.