Individual provider Active NPI

Ajay Gupta, M.D.

  • Interventional Cardiology Physician
  • Clifton, NJ
National Provider Identifier
1215974225
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA04267700 Issued in NJ
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

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA42677 NJ
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3855708MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000011 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2769451327 Reassigns benefits to 2 organizations

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
Cardiology Group Wayne General HospitalGroup PAC ID 4385690544, 6 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
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

LicenseStateTypeSpecialty
MA42677NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Englewood, PC Multi-Specialty CurrentSince Jul 30, 2016 Accepting new patients
Cheng-an Mao, MD, LLC Multi-Specialty PastSince Jan 14, 2024 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

  • Direct secure messaging: agupta236537@direct.englewoodhealth.org
  • Direct secure messaging: ajay.gupta@direct.carepointhealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.