Organization Active NPI

Living Well Comprehensive Pain Center PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Drexel Hill, PA
National Provider Identifier
1811271984
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD422552 Issued in PA
Legal business name
LIVING WELL COMPREHENSIVE PAIN CENTER PC
Practice address
3001 Garrett Rd
B
Drexel Hill, PA 19026-2201
Phone
(484) 461-8154
NPI assigned
Oct 6, 2011
Organization subpart
Yes
Parent organization
LIVING WELL COMPREHENSIVE PAIN CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Priya Swamy, MDNPI 1245285741
Title
Physician
Phone
(484) 362-9143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X MD422552 PA Primary

Addresses

Primary practice location

3001 Garrett Rd
B
Drexel Hill, PA 19026-2201

Mailing address

PO Box 7725
Philadelphia, PA 19101-7725
Phone (484) 461-8154

Other names 1

  • Priya Swamy MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120202000710 PA Part B Supplier - Clinic/Group Practice 3476710492 Receives reassigned benefits from 1 practitioner
Practice locations: Broomall, PA

National Provider Directory

National Provider Directory
Part of
Living Well Comprehensive Pain Center PC

Locations

1999 Sproul Rd
Ste 22
Broomall, PA 19008
Phone (484) 461-8154

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1811271984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7725",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191017725",
            "telephone_number": "484-461-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GARRETT RD",
            "address_2": "B",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262201",
            "telephone_number": "484-461-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL COMPREHENSIVE PAIN CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING WELL COMPREHENSIVE PAIN CENTER",
        "enumeration_date": "2011-10-06",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "SWAMY",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "484-362-9143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD422552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priya Swamy MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.