NPIMap

Organization Active NPI

Tristate Interventional Pain and Wellness Center LLC

  • Interventional Pain Medicine Physician
  • Wilmington, DE
National Provider Identifier
1730521360
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
C1-0007252 Issued in DE
Legal business name
TRISTATE INTERVENTIONAL PAIN AND WELLNESS CENTER LLC
Practice address
2601 Annand Dr
Suite 3
Wilmington, DE 19808-3719
Phone
(302) 789-0545
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Neeraj Kapur, MD
Title
President
Phone
(302) 633-5840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X C1-0007252 DE Primary

Addresses

Primary practice location

2601 Annand Dr
Suite 3
Wilmington, DE 19808-3719

Mailing address

2601 Annand Dr
Suite 3
Wilmington, DE 19808-3719
Phone (302) 789-0545

National Provider Directory

National Provider Directory

Locations

5165 W Woodmill Dr
Unit 12
Wilmington, DE 19808
Phone (302) 789-0545

1941 Limestone Rd
Ste 10
Wilmington, DE 19808
Phone (302) 789-0545

2601 Annand Dr
Ste 3
Wilmington, DE 19808
Phone (302) 789-0545

5165 W Woodmill Dr
Wilmington, DE 19808

1011 W Baltimore Pike
Rm 310
West Grove, PA 19390
Phone (610) 869-0400

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1730521360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-789-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR",
            "address_2": "SUITE 3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-789-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE INTERVENTIONAL PAIN AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "NEERAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-633-5840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "DE",
            "license": "C1-0007252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.