Organization Active NPI

Gandaparsin, LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
National Provider Identifier
1851861165
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GANDAPARSIN, LLC
Practice address
1519 Wallace St
Philadelphia, PA 19130-3446
Phone
(888) 990-2653
NPI assigned
Nov 29, 2018
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Miteswar Purewal, MD
Title
Partner
Phone
(888) 990-2653

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1519 Wallace St
Philadelphia, PA 19130-3446

Mailing address

1519 Wallace St
Philadelphia, PA 19130-3446
Phone (888) 990-2653

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1851861165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303446",
            "telephone_number": "888-990-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303446",
            "telephone_number": "888-990-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANDAPARSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "MITESWAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "888-990-2653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 2019; 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.