Gautam Gupta

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA10368900 Issued in NJ

Practice address

350 Boulevard
Passaic, NJ 07055-2840

Phone

(973) 365-4000

NPI assigned

May 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physicians LLCGroup PAC ID 1850820663, 2 clinicians

Passaic Hospitalist Services, LLCGroup PAC ID 8426404484, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• VHS Hospice Services of New Jersey Hospice, Woodland Park, NJ, CCN 311508
• Affinity Care of NJ, LLC Hospice, Brick, NJ, CCN 311591
• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Valley Hospital Hospital, Paramus, NJ, CCN 310012
• Arbor Ridge Rehabilitation and Healthcare Center Nursing home, Wayne, NJ, CCN 315234
• Oakland Rehabilitation and Healthcare Center Nursing home, Oakland, NJ, CCN 315171

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Elite Physicians LLC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1669281366

  Internal Medicine, NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Passaic Hospitalist Services, LLC

  • Hospitalist Physician
  • Paterson, NJ
  • NPI 1144903733

  NJ

  Medicare reassignment Care Compare group NPD
• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342

  Internal Medicine, NJ

  Medicare reassignment NPD
• Cogent Healthcare of New Jersey, PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1629304290

  Internal Medicine, NJ

  Medicare reassignment NPD
• Inhospital Physicians Corp of New Jersey, PC

  • Internal Medicine Physician
  • Rochelle Park, NJ
  • NPI 1336625425

  Internal Medicine, NJ

  Medicare reassignment NPD
• St Josephs Medical Group PC

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1205425519

  Internal Medicine, NJ

  Medicare reassignment NPD
• St. Joseph'S Healthcare, Inc.

  • Internal Medicine Physician
  • Paterson, NJ
  • NPI 1497791297

  Internal Medicine, NJ

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Pennsylvania, P.C.

  • Internal Medicine Physician
  • Somerset, PA
  • NPI 1639464308

  Internal Medicine

  NPD
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Care of NJ LLC

  • Community Based Hospice Care Agency
  • Brick, NJ
  • NPI 1578178281

  Hospice

  Care Compare affiliation
• Arbor Ridge Operator LLC

  • Skilled Nursing Facility
  • Wayne, NJ
  • NPI 1407400674

  Nursing home

  Care Compare affiliation
• Oakland Operator LLC

  • Skilled Nursing Facility
  • Oakland, NJ
  • NPI 1033500251

  Nursing home

  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420

  Hospital

  Care Compare affiliation
• The Valley Hospital Inc.

  • General Acute Care Hospital
  • Paramus, NJ
  • NPI 1013912633

  Hospital

  Care Compare affiliation
• Vhsnj at Home, LLC

  • Community Based Hospice Care Agency
  • Woodland Park, NJ
  • NPI 1174063200

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1356728869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 53RD ST APT 507",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070473158",
            "telephone_number": "240-408-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17716 Phelps Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Derwood",
            "state": "MD",
            "postal_code": "20855",
            "country_code": "US",
            "telephone_number": "301-740-3192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 53rd St Apt 507",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473158",
            "country_code": "US",
            "telephone_number": "240-408-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1715 US Highway 46 Apt 463",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070542976",
            "country_code": "US",
            "telephone_number": "240-408-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "GAUTAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10368900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Hope Grossman, OTR
• Chanita Groysman
• Mayer Grunfeld, M.D.
• Daiana Guerrero, ANP
• Estela Del Carmen Guerrero, D.D.S.
• Vijay K Gupta, MD
• Mali Gurevitch
• Daniela Guttman, BCBA
• H&M Medical Transportation
• H&M Medical Transportation LLC

• Internal Medicine Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.

Verify at the official NPI Registry.