Active NPI
Samaresh Dasgupta, D.O.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB08949800
- Practice address
- 5501 Old York Rd
Philadelphia, PA 19141-3018 - Phone
- (215) 456-6336
- Fax
- (215) 456-6601
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS014627 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OT012210 | PA | |
| Emergency Medicine Physician | 207P00000X | 25MB08949800 | NJ | Primary |
Addresses
Primary practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
929 Cox Rd
Moorestown, NJ 08057-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0269948 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Front St
Elmer, NJ 08318-2101
Phone (856) 363-1000
640 S State St
Bayhealth Emergency Physicians KGH
Dover, DE 19901-3530
Phone (302) 744-6156
Hospital & facility affiliations
- Inspira Medical Center Vineland
- Inspira Medical Center Mullica Hill
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT012210 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Health System Emergency Physician Services P a | Emergency Medicine | Current | Accepting new patients |
| Zomi Med, LLC | Current | Accepting new patients | |
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
| South Jersey Hyperbaric Medicine LLC | Current | Accepting new patients | |
| Inspira Health Network Medical Group, P.C. | Past | Accepting new patients |
Locations
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Vineland, NJ
- NPI 1699216853
-
- Emergency Medicine Physician
- Dover, DE
- NPI 1073012696
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Emergency Medicine Physician
- Elmer, NJ
- NPI 1306871314
-
- Infusion Therapy Clinic/Center
- Moorestown, NJ
- NPI 1205453495
-
- Emergency Medicine Physician
- Dover, DE
- NPI 1679072144
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1265638787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 COX RD",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413018",
"telephone_number": "215-456-6336",
"fax_number": "215-456-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASGUPTA",
"first_name": "SAMARESH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-22",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS014627",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT012210",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB08949800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0269948",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.