Active NPI
Pain Instacare
- Pain Clinic/Center
- Philadelphia, PA
National Provider Identifier
1912432972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 25MA07713800
- Legal business name
- PAIN INSTACARE
- Practice address
- 1420 Walnut Street
Suite 1201
Philadelphia, PA 19102-4017 - Phone
- (215) 278-9937
- NPI assigned
- Apr 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajan S Gupta, MD
- Title
- Ceo
- Phone
- (856) 357-6053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 25MA07713800 | NJ | Primary |
Addresses
Primary practice location
1420 Walnut Street
Suite 1201
Philadelphia, PA 19102-4017
Mailing address
100 Springdale Rd Ste B5
Cherry Hill, NJ 08003-3366
Phone (888) 724-6121
Other practice location 1
100 Springdale Rd Ste B5
Cherry Hill, NJ 08003-3366
Phone (888) 724-6121
National Provider Directory
National Provider DirectoryLocations
100 Springdale Rd
Ste B5
Cherry Hill, NJ 08003
Phone (856) 482-7246
1420 Walnut St
Ste 1201
Philadelphia, PA 19102
Phone (215) 278-9937
Interoperability endpoints
- https://api.platform.athenahealth.com/16654/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1912432972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SPRINGDALE RD STE B5",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033366",
"telephone_number": "888-724-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 WALNUT STREET",
"address_2": "SUITE 1201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024017",
"telephone_number": "215-278-9937"
}
],
"practiceLocations": [
{
"address_1": "100 Springdale Rd Ste B5",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080033366",
"country_code": "US",
"telephone_number": "888-724-6121",
"fax_number": "856-482-7245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAIN INSTACARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-27",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "RAJAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "856-357-6053",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NJ",
"license": "25MA07713800",
"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 Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.