Organization Active NPI

Pain Instacare

  • Pain Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1912432972
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
25MA07713800 Issued in NJ
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

Updated by the provider on Mar 8, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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

  • FHIR API: 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.

Verify at the official NPI Registry.