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KETAMINE WELLNESS INFUSIONS PA LLC
NPI 1629830005
Nurse Anesthetist, Certified Registered in Bala Cynwyd, PA

Active since January 30, 2024
146 MONTGOMERY AVE STE 202, BALA CYNWYD, PA 19004(484) 434-9633 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ketamine Wellness Infusions Pa Llc NPPES

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

KETAMINE WELLNESS INFUSIONS PA LLC (NPI 1629830005) is a healthcare organization registered as a nurse anesthetist, certified registered in Bala Cynwyd, Pennsylvania and active in the NPI registry since January 2024. The organization lists Jill Gabay, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629830005
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameKETAMINE WELLNESS INFUSIONS PA LLC
Location Address146 MONTGOMERY AVE STE 202Bala Cynwyd, PA 19004-2956
Mailing Address146 Montgomery Ave Ste 202Bala Cynwyd, PA 19004-2956 · (484) 434-8963
Phone(484) 434-9633
Organization SubpartNo
Authorized OfficialJill GabayMedical Director · (484) 434-8963
Enumeration DateJanuary 30, 2024
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1629830005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
146 MONTGOMERY AVE STE 202, Bala Cynwyd, PA 19004
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARMONY HEALTH HOME CARE, INC.
Home Health
146 MONTGOMERY AVE STE 202
BALA CYNWYD, PA 19004
Montgomery County (215) 877-9500

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 Ketamine Wellness Infusions PA LLC's NPI number?

The NPI number for Ketamine Wellness Infusions PA LLC is 1629830005. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is Ketamine Wellness Infusions PA LLC located?

Ketamine Wellness Infusions PA LLC is located at 146 Montgomery Ave Ste 202, Bala Cynwyd, PA 19004. The listed phone number is (484) 434-9633.

What is Ketamine Wellness Infusions PA LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Ketamine Wellness Infusions PA LLC was last updated on March 12, 2024. 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.