NPIMap

Individual provider Active NPI

Avinash C Gupta, MD

  • Cardiovascular Disease Physician
  • Lakewood, NJ
National Provider Identifier
1265531487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA60539 Issued in NJ
Practice address
637 River Avenue
Lakewood, NJ 08701
Phone
(732) 886-9101
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA60539 NJ Primary

Addresses

Primary practice location

637 River Avenue
Lakewood, NJ 08701

Mailing address

637 River Avenue
Lakewood, NJ 08701
Phone (732) 886-9101

Other identifiers 1

IdentifierTypeStateIssuer
6206701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000042 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527252709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avinash C Gupta MD PCGroup PAC ID 6204881717, 2 clinicians

Practice addresses (Care Compare)

637 River Ave
Lakewood, NJ 08701-5227
Phone (732) 886-9101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.22 of 100Reported as group
Quality
68.37
Improvement activities
40
Cost
86.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA60539NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avinash C Gupta MD PC Cardiovascular Disease CurrentSince Jun 21, 1994 Accepting new patients
Kimball Medical Center House Staff/Ekg Cardiovascular Disease Past Accepting new patients
Kimball Medical Center, Inc Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients

Locations

637 River Ave
Lakewood, NJ 08701
Phone (732) 597-3953

Interoperability endpoints

  • Direct secure messaging: agupta139941@epicdirect.rwjbh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265531487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 RIVER AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-886-9101",
            "fax_number": "732-886-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 RIVER AVENUE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-886-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "AVINASH",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA60539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6206701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.