Active NPI
Paul Joseph Resignato, MD
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1649634817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD466264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124631767 | Other | THE 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11249600 | NJ | MD | Psychiatry Physician |
| MD466264 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Art of Wellness MD | Single Specialty | Current | Accepting new patients |
| The Living Room NJ, LLC | Past | 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.
-
- Substance Abuse Rehabilitation Facility
- Princeton, NJ
- NPI 1184302648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.