Saroj Gupta, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

150180 Issued in NY

Practice address

18016 Wexford Ter
Ste CB
Jamaica, NY 11432-3004

Phone

(718) 658-5639

Fax

(718) 865-9108

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Saroj Gupta MD P.C.

  • Medical Specialty Clinic/Center
  • Jamaica, NY
  • NPI 1841441839
  Medicare reassignment NPD Authorized official
• Wyckoff Medical Services, P C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1558308411
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1396749214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18016 WEXFORD TER",
            "address_2": "STE CB",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323004",
            "telephone_number": "718-658-5639",
            "fax_number": "718-865-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18016 WEXFORD TER",
            "address_2": "STE CB",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323004",
            "telephone_number": "718-658-5639",
            "fax_number": "718-865-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SAROJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "150180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guiding Light Home Care
• Marie Dolores Guillaume
• Venkata Naga Sai Jatin Gumpella, PHARM D
• Victor Gunsalus, SOCIAL WORK INTERN
• Kaydion Claire Gunter
• Swarn Kumar Gupta, M.D.
• Kamla N Gurcharan, NP
• Katherine Gurevich, MSW, CASAC LEVEL 2
• Nelly Patricia Guriel, R.N.
• Scott Eric Gurman, PA

• Physical Medicine & Rehabilitation Physician in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.