Organization Active NPI

Juhee Gupta MD PC

  • Hematology & Oncology Physician
  • Edison, NJ
National Provider Identifier
1154456242
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA06083100 Issued in NJ
Legal business name
JUHEE GUPTA MD PC
Practice address
35-37 Progress St Ste A1
Edison, NJ 08820-1179
Phone
(908) 226-1500
Fax
(908) 755-3200
NPI assigned
Feb 22, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Dr. Juhee Gupta, MDNPI 1053318063
Title
President
Phone
(908) 226-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06083100 NJ
Hematology & Oncology Physician 207RH0003X 25MA06083100 NJ Primary

Addresses

Primary practice location

35-37 Progress St Ste A1
Edison, NJ 08820-1179

Mailing address

35-37 Progress St Ste A1
Edison, NJ 08820-1179
Phone (908) 226-1500

Other identifiers 1

IdentifierTypeStateIssuer
7053801MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070703000415 NJ Part B Supplier - Clinic/Group Practice 5799885869 Receives reassigned benefits from 1 practitioner
Practice locations: Edison, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0943460Juhee Gupta MD PC35-37 Progress Street Suite A1, Edison, NJ 08820Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory

Locations

35-37 Progress St
Ste A1
Edison, NJ 08820
Phone (484) 469-0852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1154456242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST STE A1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-226-1500",
            "fax_number": "908-755-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-37 PROGRESS ST STE A1",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201179",
            "telephone_number": "908-226-1500",
            "fax_number": "908-755-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUHEE GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-226-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06083100",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA06083100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7053801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.