Active NPI
Ajay Gupta, M.D.
- Interventional Cardiology Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25MA04267700
- Practice address
- 2 Brighton Rd Ste 400
Clifton, NJ 07012-1670 - Phone
- (862) 249-4904
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA42677 | NJ | |
| Interventional Cardiology Physician | 207RI0011X | 25MA04267700 | NJ | Primary |
Addresses
Primary practice location
2 Brighton Rd Ste 400
Clifton, NJ 07012-1670
Mailing address
717 Somerset St
Franklin Lakes, NJ 07417-1036
Phone (973) 595-5345
Other practice location 1
401 Hamburg Tpke Ste 109
Wayne, NJ 07470-2139
Phone (973) 595-5345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3855708 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
224 Hamburg Tpke
Wayne, NJ 07470-2168
Phone (976) 790-3232
401 Hamburg Tpke
Suite 109
Wayne, NJ 07470-2139
Phone (973) 595-5345
Hospital & facility affiliations
- Hackensack Meridian Mountainside Medical
- Englewood Hospital and Medical Center
- St Joseph's University Medical Center Inc
- Hackensack University Medical Center
- Morristown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42677 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Multi-Specialty | Current | Accepting new patients |
| Cheng-an Mao, MD, LLC | Multi-Specialty | Past | Accepting new patients |
Locations
2 Brighton Rd
Ste 400
Clifton, NJ 07012
Phone (862) 249-4904
50 Mount Prospect Ave
Ste 101
Clifton, NJ 07013
Phone (973) 574-9880
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
150 Warren St
Jersey City, NJ 07302
Phone (201) 309-3000
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
401 Hamburg Tpke
Ste 109
Wayne, NJ 07470
Phone (973) 460-7560
Interoperability endpoints
- agupta236537@direct.englewoodhealth.org
- ajay.gupta@direct.carepointhealth.org
- agupta191392@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Multi-Specialty
-
- Cardiovascular Disease Physician
- Wayne, NJ
- NPI 1063591626
-
- Geriatric Medicine (Family Medicine) Physician
- Clifton, NJ
- NPI 1750393823
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
dba HackensackUMC Mountainside
- General Acute Care Hospital
- Montclair, NJ
- NPI 1982720249
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1215974225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 SOMERSET ST",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171036",
"telephone_number": "973-595-5345",
"fax_number": "973-595-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BRIGHTON RD STE 400",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121670",
"telephone_number": "862-249-4904"
}
],
"practiceLocations": [
{
"address_1": "401 Hamburg Tpke Ste 109",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "NJ",
"postal_code": "074702139",
"country_code": "US",
"telephone_number": "973-595-5345",
"fax_number": "973-595-5069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUPTA",
"first_name": "AJAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA42677",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NJ",
"license": "25MA04267700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3855708",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.