Active NPI
Anil Gupta,M.D.,P.C.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1265628184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 174785
- Legal business name
- ANIL GUPTA,M.D.,P.C.
- Practice address
- 1624 Crosby Ave
Bronx, NY 10461-5201 - Phone
- (718) 822-0676
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anil Gupta, M.D.
- Title
- President
- Phone
- (718) 822-0676
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 174785 | NY | |
| Allergy Physician | 207KA0200X | 174785 | NY | |
| Pediatrics Physician | 208000000X | 174785 | NY | Primary |
| Pediatric Allergy/Immunology Physician | 2080P0201X | 174785 | NY |
Addresses
Primary practice location
1624 Crosby Ave
Bronx, NY 10461-5201
Mailing address
1624 Crosby Ave
Bronx, NY 10461-5201
Phone (718) 822-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136034 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1624 Crosby Ave
Bronx, NY 10461
Phone (718) 822-0676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1265628184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 CROSBY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615201",
"telephone_number": "718-822-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 CROSBY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615201",
"telephone_number": "718-822-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANIL GUPTA,M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ANIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-822-0676",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "NY",
"license": "174785",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "174785",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "174785",
"primary": true
},
{
"code": "2080P0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": "NY",
"license": "174785",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01136034",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.