Kavita Gupta, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25MA09261300 Issued in NJ

Practice address

388 Pompton Ave
Suite 4
Cedar Grove, NJ 07009-1814

Phone

(973) 302-5630

Fax

(973) 787-3242

NPI assigned

Jun 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Geriatric MedicineAlso: Internal Medicine

Education

Rutgers New Jersey Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Patient Care Home health agency, West Orange, NJ, CCN 317060
• Hackensack Meridian Mountainside Medical Hospital, Montclair, NJ, CCN 310054
• Canterbury at Cedar Grove Nursing home, Cedar Grove, NJ, CCN 315204
• Alaris Health at Cedar Grove Nursing home, Cedar Grove, NJ, CCN 315357
• Family of Caring Healthcare at Montclair Nursing home, Montclair, NJ, CCN 315435

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: kgupta191452@ahs.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vijay K. Gupta, M.D.

  • Nephrology Physician
  • Cedar Grove, NJ
  • NPI 1932391448
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Canterbury at Cedar Grove Care & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Cedar Grove, NJ
  • NPI 1407852833

  Nursing home

  Care Compare affiliation
• CG Healthcare LLC

  • Skilled Nursing Facility
  • Cedar Grove, NJ
  • NPI 1841287083

  Nursing home

  Care Compare affiliation
• Family of Caring Healthcare at Montclair, LLC

  • Skilled Nursing Facility
  • Montclair, NJ
  • NPI 1770065674

  Nursing home

  Care Compare affiliation
• Montclair Hospital LLC

  • General Acute Care Hospital
  • Montclair, NJ
  • NPI 1982720249
  Care Compare affiliation
• Patient Care Medical Services, Inc.

  • Home Health Agency
  • West Orange, NJ
  • NPI 1922089929
  Care Compare affiliation

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1073833554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 POMPTON AVE",
            "address_2": "SUITE 4",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091814",
            "telephone_number": "973-302-5630",
            "fax_number": "973-787-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 POMPTON AVE",
            "address_2": "SUITE 4",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091814",
            "telephone_number": "973-302-5630",
            "fax_number": "973-787-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09261300",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA09261300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Patrice Glennon, NP
• Lauren Gogel, DPT
• Diana Goldfarb, APN
• Julio Gonzalez, PTA
• Francisco Grape III, PT
• Punit K Gupta, MD
• Vinit K. Gupta, M.D.
• Ruba Habib, MD
• Andrew Harmon, DO
• Krystal Harris, MOTR/L

• Geriatric Medicine (Internal Medicine) Physician in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.