NPIMap

Individual provider Active NPI

Rahul Gupta, MD

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1376003699
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA11462300 Issued in NJ
Practice address
718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone
(201) 833-3000
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NJ
Internal Medicine Physician 207R00000X 25MA11462300 NJ Primary

Addresses

Primary practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

3 University PLZ Ste 205
Hackensack, NJ 07601-6208

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
I20220811001756 NJ Practitioner - Internal MedicinePractitioner - Hospitalist 3173906997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RKG Group of Medical Services IncGroup PAC ID 9133659964, 3 clinicians
House Physician Partners PCGroup PAC ID 7517944366, 31 clinicians

Practice addresses (Care Compare)

191 Hamburg Tpke
Suite 3
Pompton Lakes, NJ 07442-2332
Phone (201) 479-4542

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3090

Hospital & facility affiliations

  • Atlantic Visiting Nurse Hospice, Morristown, NJ, CCN 311503
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
House Physician Partners, PC CurrentSince Aug 1, 2022 Accepting new patients
RKG Group of Medical Services Inc Internal Medicine CurrentSince Dec 29, 2024 Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Ahs Hospital Corp. Past Accepting new patients

Locations

3 University Plz
Ste 205
Hackensack, NJ 07601

191 Hamburg Tpke
Ste 3
Pompton Lakes, NJ 07442
Phone (201) 479-4542

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

220 Hamburg Tpke
Ste 2
Wayne, NJ 07470
Phone (973) 389-9975

Interoperability endpoints

  • Direct secure messaging: rgupta557206@direct.ahsys.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1376003699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLZ STE 205",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11462300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.