Individual provider Active NPI

Kavita Gupta, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Voorhees, NJ
National Provider Identifier
1699745828
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MB07408300 Issued in NJ
Practice address
705 White Horse Rd
Ste D101
Voorhees, NJ 08043-2468
Phone
(856) 751-7799
Fax
(856) 751-6660
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MB07408300 NJ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MB07408300 NJ Primary

Addresses

Primary practice location

705 White Horse Rd
Ste D101
Voorhees, NJ 08043-2468

Mailing address

PO Box 3001
Voorhees, NJ 08043-0598
Phone (856) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
0021466MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000214 NJ Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6507769858 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians
Airport Plaza Spine and Wellness LLCGroup PAC ID 3173801982, 7 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

1354 State Route 36
Hazlet, NJ 07730-1716
Phone (732) 264-2233

705 White Horse Rd
Voorhees, NJ 08043-2468

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB07408300NJMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Airport Plaza Spine & Wellness LLC CurrentSince Feb 1, 2025 Accepting new patients
Advocare , LLC CurrentSince Jun 25, 2012 Accepting new patients
Advocare, LLC CurrentSince Jun 25, 2012 Accepting new patients
United Anesthesia Services PC Past Accepting new patients
Advocare, LLC Past Accepting new patients
Atlantic Pain and Wellness Institute PC PastSince Nov 26, 2023 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1354 State Route 36
Hazlet, NJ 07730
Phone (732) 264-2233

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

42 E Laurel Rd
Ste 1700
Stratford, NJ 08084
Phone (856) 482-9000

42 E Laurel Rd
#1700
Stratford, NJ 08084
Phone (856) 566-7010

120 Carnie Blvd
Ste 4
Voorhees, NJ 08043
Phone (609) 424-8866

705 White Horse Rd
Ste D101
Voorhees, NJ 08043
Phone (856) 346-1523

Interoperability endpoints

  • Direct secure messaging: kavita.gupta@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1699745828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3001",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430598",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE RD",
            "address_2": "STE D101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432468",
            "telephone_number": "856-751-7799",
            "fax_number": "856-751-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "MB07408300",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "MB07408300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021466",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.