Individual provider Active NPI

Paul Joseph Resignato, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1649634817
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD466264 Issued in PA
Practice address
255 S 17TH St Ste 1608
Philadelphia, PA 19103-6216
Phone
(484) 321-1697
Fax
(844) 868-8138
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA11249600 NJ
Psychiatry Physician 2084P0800X MD466264 PA Primary

Addresses

Primary practice location

255 S 17TH St Ste 1608
Philadelphia, PA 19103-6216

Mailing address

163 Eaton Dr
Wayne, PA 19087-3858
Phone (484) 321-6977

Other practice location 1

239 Wall St
Princeton, NJ 08540-1512
Phone (732) 276-2828

Other identifiers 1

IdentifierTypeStateIssuer
1124631767OtherTHE ART OF WELLNESS, MD NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 26, 2020 through Aug 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA11249600NJMDPsychiatry Physician
MD466264PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Art of Wellness MD Single Specialty CurrentSince Oct 29, 2023 Accepting new patients
The Living Room NJ, LLC PastSince Jul 9, 2023 Accepting new patients

Locations

255 S 17th St
Ste 1608
Philadelphia, PA 19103
Phone (215) 760-0096

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1649634817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 EATON DR",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873858",
            "telephone_number": "484-321-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 17TH ST STE 1608",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036216",
            "telephone_number": "484-321-1697",
            "fax_number": "844-868-8138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Wall St",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085401512",
            "country_code": "US",
            "telephone_number": "732-276-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESIGNATO",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11249600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD466264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE ART OF WELLNESS, MD NPI",
            "identifier": "1124631767",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.