Individual provider Active NPI

Meenu Gupta, M.D.

  • Obstetrics & Gynecology Physician
  • Forest Hills, NY
National Provider Identifier
1184664179
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
231047 Issued in NY
Practice address
10555 62ND Dr
Ste 1H
Forest Hills, NY 11375-1109
Phone
(718) 849-2723
Fax
(718) 849-3166
NPI assigned
Jun 7, 2006
Last updated
Apr 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 231047 NY Primary

Addresses

Primary practice location

10555 62ND Dr
Ste 1H
Forest Hills, NY 11375-1109

Mailing address

10555 62ND Dr
Ste 1H
Forest Hills, NY 11375-1109
Phone (718) 263-5251

Other identifiers 1

IdentifierTypeStateIssuer
02594916MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040727000718 NY Practitioner - Obstetrics/Gynecology 1153391396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Dr Rakesh Gupta-Dr Meenu Gupta Medical PCGroup PAC ID 4486672979, 2 clinicians
Lefferts Medical Associates PCGroup PAC ID 6305839150, 17 clinicians

Practice addresses (Care Compare)

10555 62ND Dr
Suite 1H
Forest Hills, NY 11375-1109
Phone (646) 400-2332

26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone (718) 347-0434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231047NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lefferts Medical Associates PC Obstetrics & Gynecology CurrentSince Mar 2, 2025 Accepting new patients
Queens Medical Office, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Richmond Hill Family Foot Care, PC Past Accepting new patients
Instant Medical Care, PC PastSince Apr 11, 2021 Accepting new patients

Locations

4046 74th St
Elmhurst, NY 11373
Phone (718) 458-1515

10555 62nd Dr
Ste 1H
Forest Hills, NY 11375
Phone (718) 592-2626

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

27005 76th Ave
North New Hyde Pk, NY 11040

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBIGCD/Endpoint/CBIGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCEABA/Endpoint/DCEABA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1184664179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 62ND DR",
            "address_2": "STE 1H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751109",
            "telephone_number": "718-263-5251",
            "fax_number": "718-849-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 62ND DR",
            "address_2": "STE 1H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751109",
            "telephone_number": "718-849-2723",
            "fax_number": "718-849-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MEENU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "231047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.