Mamta Bansal Gupta, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA08120400 Issued in NJ

Practice address

27 Wills Way
Piscataway, NJ 08854-3770

Phone

(908) 834-8534

Fax

(908) 922-4880

NPI assigned

Oct 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1255528618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "908-834-8534",
            "fax_number": "908-922-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 WILLS WAY",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543770",
            "telephone_number": "908-834-8534",
            "fax_number": "908-922-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MAMTA",
        "middle_name": "BANSAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08120400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashante Guillaume-Salvant
• Clarissa Guiste
• Jasmine Guliani, MD
• Sakina Z Gunja, MD
• Aditi Gupta, M.D.
• Nickhil Gupta, D.O.
• Pratibha Gupta, HOMEOPATH
• Sumona Gupta
• Lily Gutterman, MD
• H&H Clinic LLC

• Pediatrics Physician in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.