Organization Active NPI

Anjali R. Gupta, M.D. P.C.

  • Medical Specialty Clinic/Center
  • West Orange, NJ
National Provider Identifier
1245200963
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA07665900 Issued in NJ
Legal business name
ANJALI R. GUPTA, M.D. P.C.
Practice address
769 Northfield Ave
Suite 114
West Orange, NJ 07052-1198
Phone
(973) 736-9100
Fax
(973) 736-9330
NPI assigned
Jan 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anjali Gupta, M.D
Title
Physician
Phone
(973) 736-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA07665900 NJ Primary

Addresses

Primary practice location

769 Northfield Ave
Suite 114
West Orange, NJ 07052-1198

Mailing address

769 Northfield Ave
Suite 114
West Orange, NJ 07052-1198
Phone (973) 736-9100

National Provider Directory

National Provider Directory

Locations

769 Northfield Ave
Ste 114
West Orange, NJ 07052
Phone (973) 325-5675

Practitioners & affiliated clinicians

Practitioners 2

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245200963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE",
            "address_2": "SUITE 114",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521198",
            "telephone_number": "973-736-9100",
            "fax_number": "973-736-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NORTHFIELD AVE",
            "address_2": "SUITE 114",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521198",
            "telephone_number": "973-736-9100",
            "fax_number": "973-736-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJALI R. GUPTA, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-736-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "MA07665900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.