ATLANTIC PAIN AND WELLNESS INSTITUTE PC
NPI 1104852656
Anesthesiology - Pain Medicine in Bala Cynwyd, PA

Active since June 25, 2006
333 E CITY LINE AVE STE PL20, BALA CYNWYD, PA 19004(610) 664-3000(610) 664-3003 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, Feb 7, 2023 (2 updates tracked since 2023).

About Atlantic Pain And Wellness Institute Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC PAIN AND WELLNESS INSTITUTE PC (NPI 1104852656) is a healthcare organization registered as a pain medicine in Bala Cynwyd, Pennsylvania and active in the NPI registry since June 2006. The organization maintains 2 additional practice locations and lists Sanjay Gupta, President, as its authorized official.

NPPES Registry Identity

NPI1104852656
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameATLANTIC PAIN AND WELLNESS INSTITUTE PC
Location Address333 E CITY LINE AVE STE PL20Bala Cynwyd, PA 19004-1507
Mailing Address27 Wynnewood DrVoorhees, NJ 08043-1657 · (610) 664-3000 · Fax (610) 664-3003
Fax(610) 664-3003
Organization SubpartNo
Authorized OfficialSanjay GuptaPresident · (610) 664-3000
Enumeration DateJune 25, 2006
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1104852656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
333 E CITY LINE AVE STE PL20, Bala Cynwyd, PA 19004

Secondary Practice Locations 2

Location 12040 E Allegheny AvePhiladelphia, PA 19134-3817 · Phone (610) 664-3000 · Fax (610) 664-3003
Location 29140 Academy Rd Ste APhiladelphia, PA 19114 · Phone (610) 664-3000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlantic Pain And Wellness Institute Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Atlantic Pain And Wellness Institute PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pain Management
NPI 1215963038
333 E CITY LINE AVE STE PL20
Bala Cynwyd, PA 19004
(610) 664-3000
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Pain And Wellness Institute PC's NPI number?

The NPI number for Atlantic Pain And Wellness Institute PC is 1104852656. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Atlantic Pain And Wellness Institute PC located?

Atlantic Pain And Wellness Institute PC is located at 333 E City Line Ave Ste Pl20, Bala Cynwyd, PA 19004. The listed phone number is (610) 664-3000.

What is Atlantic Pain And Wellness Institute PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Atlantic Pain And Wellness Institute PC enrolled in Medicare?

Yes. Atlantic Pain And Wellness Institute PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Pain And Wellness Institute PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Atlantic Pain And Wellness Institute PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlantic Pain And Wellness Institute PC was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.