Jagdish K. Gupta, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

123886-1 Issued in NY

Practice address

28 8TH Ave
Brooklyn, NY 11217-3919

Phone

(718) 638-3150

Fax

(718) 638-4033

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Berkeley Medical Associate, PC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1598033177
  NPD (past) Authorized official
• Jagdish K Gupta, MD, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1730591538
  NPD (past) Authorized official
• Jagdish K. Gupta M.D., P.C.

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1437382413
  Authorized official Same address or phone

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083788400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAMILTON DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763103",
            "telephone_number": "516-746-2266",
            "fax_number": "718-638-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173919",
            "telephone_number": "718-638-3150",
            "fax_number": "718-638-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "JAGDISH",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "123886-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepali Gupta, M.D.
• Devansh Gupta, M.D.
• Divya Gupta
• Gayatri Gupta, D.O.
• Isha Gupta, CGC
• Kanchan Gupta
• Kriti Gupta, MD
• Mayank Gupta, MD
• Nealansh Embre Gupta
• Nikita Gupta, D.O

• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.