Ami Gupta, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22DI02402900 Issued in NJ

Practice address

175 Route 130 S Ste B
Cinnaminson, NJ 08077-3376

Phone

(856) 330-0461

NPI assigned

Jul 12, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tooth Town LLC

  • Pediatric Dentistry
  • Cinnaminson, NJ
  • NPI 1619853686
  NPD Authorized official
• Holdbrook Pediatric Dental, LLC

  • Pediatric Dentistry
  • Swedesboro, NJ
  • NPI 1679811129
  NPD (past)

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1184853103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ROUTE 130 S STE B",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773376",
            "telephone_number": "856-330-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 130 S STE B",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773376",
            "telephone_number": "856-330-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AMI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-12",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02402900",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02402900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lynn Gladysz
• Maria J Gonzalez, L.C.S.W.
• Rachel Beth Gordon
• Janine Graham
• Kellie Grodin, RN
• Leah V Guzzardo, PT, DPT, PCS
• Hannah Medical Group LLC
• Dane Hardy
• Tehzeeb Hassan, DMD
• Brendan Hastings, MMS, PA-C

• Pediatric Dentistry in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.