Long Beach Rheumatology, PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

212451 Issued in NY

Legal business name

LONG BEACH RHEUMATOLOGY, PC

Practice address

759 Lincoln Blvd
Long Beach, NY 11561-2355

Phone

(516) 897-3885

Fax

(516) 897-3887

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep Gupta, MDNPI 1194794305

Title

President

Phone

(516) 897-3885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DIAGCD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandeep Gupta, M.D.

  • Rheumatology Physician
  • Bronx, NY
  • NPI 1194794305
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1255534087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E OLIVE ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613507",
            "telephone_number": "516-897-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 LINCOLN BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612355",
            "telephone_number": "516-897-3885",
            "fax_number": "516-897-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH RHEUMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-897-3885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "212451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Psychological Associates LLP
• Long Beach Public Schools
• Long Beach Radiology Associates, LLP
• Long Beach Reach
• Long Beach Reach Inc.
• Long Beach Speech Language Pathology
• Long Beach Surgical Supply Company
• Long Beach Vascular Gen Sur
• Long Island Psychiatric Associates PC
• Andrea Longo, MS, CCC-SLP, TSHH

• Rheumatology Physician in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.