Organization Active NPI

B.D.Gupta,MDPC

  • Cardiovascular Disease Physician
  • Lynnfield, MA
National Provider Identifier
1053430819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
44639 Issued in MA
Legal business name
B.D.GUPTA,MDPC
Practice address
10 Post Office SQ
Lynnfild Medical Building
Lynnfield, MA 01940-2218
Phone
(781) 599-0594
Fax
(781) 581-6540
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
B D Gupta, MD
Title
President
Phone
(781) 599-0594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 44639 MA Primary

Addresses

Primary practice location

10 Post Office SQ
Lynnfild Medical Building
Lynnfield, MA 01940-2218

Mailing address

10 Post Office SQ
Lynnfild Medical Building
Lynnfield, MA 01940-2218
Phone (781) 599-0594

Other identifiers 2

IdentifierTypeStateIssuer
M14148OtherMABLUE CROSS
9738894MedicaidMA

National Provider Directory

National Provider Directory

Locations

10 Post Office Sq
#F
Lynnfield, MA 01940
Phone (781) 599-0594

10 Post Office Sq
Ste F
Lynnfield, MA 01940

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053430819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 POST OFFICE SQ",
            "address_2": "LYNNFILD MEDICAL BUILDING",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402218",
            "telephone_number": "781-599-0594",
            "fax_number": "781-581-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 POST OFFICE SQ",
            "address_2": "LYNNFILD MEDICAL BUILDING",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019402218",
            "telephone_number": "781-599-0594",
            "fax_number": "781-581-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.D.GUPTA,MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "B",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-599-0594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "44639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M14148",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9738894",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.