Anju Gupta, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

249587 Issued in NY

Practice address

94 Olean St
Suite 210
East Aurora, NY 14052-2596

Phone

(716) 652-0237

Fax

(716) 652-0983

NPI assigned

Feb 3, 2006

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HJJBBA/Endpoint/HJJBBA

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.

• East Aurora Pediatrics

  • Pediatric Adolescent Medicine Physician
  • East Aurora, NY
  • NPI 1447212139
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1437121480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLEAN ST",
            "address_2": "SUITE 210",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522596",
            "telephone_number": "716-652-0237",
            "fax_number": "716-652-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLEAN ST",
            "address_2": "SUITE 210",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522596",
            "telephone_number": "716-652-0237",
            "fax_number": "716-652-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ANJU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3959",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "249587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155019001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03122245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrianette Nicole Gordon, D.D.S.
• Samantha Gorski
• Cheryl Ann Grace, TSHH
• Jillian Joan Green, M.A., CCC-SLP
• Lakeisha Grenade-Shoemaker, CLC
• Raya Gyourova, M.D.
• Rachael Ann Haker
• Krista Marie Haller, DC
• Robert Hallick, DC
• Ami Jill Hariton, DDS

• Pediatrics Physician in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.