Active NPI
Dr Rakesh Gupta-Dr Meenu Gupta Medical PC
- Specialist
- Forest Hills, NY
National Provider Identifier
1104030626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 231047
- Legal business name
- DR RAKESH GUPTA-DR MEENU GUPTA MEDICAL PC
- Practice address
- 10555 62ND Dr
Forest Hills, NY 11375-1101 - Phone
- (516) 238-4235
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Marie Vega
- Title
- Office Manager
- Phone
- (516) 238-4235
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 231047 | NY | Primary |
| Specialist | 174400000X | 218280 | NY |
Addresses
Primary practice location
10555 62ND Dr
Forest Hills, NY 11375-1101
Mailing address
11312 Jewel Ave
Forest Hills, NY 11375-3953
Phone (516) 488-0241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Forest Hills, NY
- NPI 1184664179
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1366495780
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1902187909
-
- Primary Podiatric Medicine Podiatrist
- Richmond Hill, NY
- NPI 1427012236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335139200000",
"number": "1104030626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11312 JEWEL AVE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753953",
"telephone_number": "516-488-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 62ND DR",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113751101",
"telephone_number": "516-238-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR RAKESH GUPTA-DR MEENU GUPTA MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2012-04-23",
"status": "A",
"authorized_official_last_name": "VEGA",
"authorized_official_first_name": "GINA MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "516-238-4235"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "231047",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "218280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.