Institute for Pain Relief PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

#25MB07408300 Issued in NJ

Legal business name

INSTITUTE FOR PAIN RELIEF PA

Practice address

2309 E Evesham Rd
Suite B,C,D
Voorhees, NJ 08043-1559

Phone

(856) 751-7799

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kavita Gupta, DO

Title

Owner

Phone

(856) 751-7799

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1942497078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FRANKLIN DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432163",
            "telephone_number": "856-344-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E EVESHAM RD",
            "address_2": "SUITE B,C,D",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431559",
            "telephone_number": "856-751-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR PAIN RELIEF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-751-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "#25MB07408300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "075851C60",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021466",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Im Support Services LLC
• Brooke Elizabeth Impagliazzo, FNP
• Guillermo Antonio Infante Gutierrez, MD
• Infectious Disease Physicians,PA
• Inovatech, LLC
• Integrated Foot and Ankle Specialists of NJ LLC
• Interim Healthcare Managed Services
• Interim Healthcare of NJ
• Katie Ireland
• Eytan Irwin, M.D.

• Pain Medicine (Anesthesiology) Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.