Individual provider Active NPI

Sanjay Kumar Gupta, M.D.

  • Diagnostic Radiology Physician
  • New City, NY
National Provider Identifier
1376628800
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
227969 Issued in NY
Practice address
18 Squadron Blvd
New City, NY 10956-5210
Phone
(845) 634-9729
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 227969 NY Primary

Addresses

Primary practice location

18 Squadron Blvd
New City, NY 10956-5210

Mailing address

18 Squadron Blvd
New City, NY 10956-5210
Phone (845) 634-9729

Other identifiers 1

IdentifierTypeStateIssuer
02529528MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040401001595 NY Practitioner - Diagnostic Radiology 7214929876 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Pennsylvania, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
75.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227969NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc CurrentSince Jul 14, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Jul 14, 2023 Accepting new patients
Montefiore Nyack Hospital CurrentSince Sep 22, 2021 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Montefiore Nyack Hospital CurrentSince Sep 22, 2021 Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients
Westchester Square Imaging Associates PC Diagnostic Radiology Past Accepting new patients
Advanced Radiological Imaging-Astoria PC Diagnostic Radiology PastSince Mar 1, 2019 Accepting new patients
Hia Bensonhurst Imaging Associates, LLP Past Accepting new patients
Yonkers Imaging PC Diagnostic Radiology Past Accepting new patients
Radiology Health Services, PC Diagnostic Radiology Past Accepting new patients
Port Interventional Radiology PC Diagnostic Radiology Past Accepting new patients
Forest Hills Diagnostic Imaging, PC Diagnostic Radiology Past Accepting new patients
Englewood Imaging Center, PA Diagnostic Radiology Past Accepting new patients

Locations

2916 Astoria Blvd
Astoria, NY 11102
Phone (718) 204-5800

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1376628800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SQUADRON BLVD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565210",
            "telephone_number": "845-634-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SQUADRON BLVD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565210",
            "telephone_number": "845-634-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "227969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02529528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.