Active NPI
Gugu Mohapeloa, MD
- Internal Medicine Physician
- Parlin, NJ
National Provider Identifier
1306952635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA066841
- Practice address
- 1145 Bordentown Ave
#18
Parlin, NJ 08859-1851 - Phone
- (732) 727-4700
- Fax
- (732) 727-4734
- NPI assigned
- Aug 21, 2006
- Last updated
- Feb 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA066841 | NJ | Primary |
Addresses
Primary practice location
1145 Bordentown Ave
#18
Parlin, NJ 08859-1851
Mailing address
1145 Bordentown Ave
#18
Parlin, NJ 08859-1851
Phone (732) 727-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7773706 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA066841 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical and Arthritis Doctors, Inc. | Past | Accepting new patients | |
| Integrated Medicine Alliance PA | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1306952635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BORDENTOWN AVE",
"address_2": "#18",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591851",
"telephone_number": "732-727-4700",
"fax_number": "732-727-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 BORDENTOWN AVE",
"address_2": "#18",
"city": "PARLIN",
"state": "NJ",
"postal_code": "088591851",
"telephone_number": "732-727-4700",
"fax_number": "732-727-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAPELOA",
"first_name": "GUGU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA066841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7773706",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parlin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.