Nickhil Gupta, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB0902260 Issued in NJ

Practice address

250 Stelton Rd Ste 3
Piscataway, NJ 08854-3285

Phone

(732) 752-3355

NPI assigned

Jul 26, 2007

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY3 enrollments

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 3

Specialty

Pain Management

Education

New York College of Osteo Medicine of New York Institute of Technology, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Avalon Medical Center, LLCGroup PAC ID 2769827179, 12 clinicians

New York Bone and Joint Specialists PLLCGroup PAC ID 0143320283, 19 clinicians

N Gupta Medical PCGroup PAC ID 1355875881, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

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

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.

• N Gupta Medical PC

  • Clinic/Center
  • New City, NY
  • NPI 1609695527
  Medicare reassignment Care Compare group NPD Authorized official
• Avalon Medical Center, LLC

  • Clinic/Center
  • New Windsor, NY
  • NPI 1003591447

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• New York Bone and Joint Specialists, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1811060619

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Northern New Jersey Spine and Rehabilitation LLC

  • Pain Medicine (Anesthesiology) Physician
  • Jersey City, NJ
  • NPI 1447800271
  Medicare reassignment NPD
• Nickhil Gupta DO PC

  • Medical Specialty Clinic/Center
  • Paramus, NJ
  • NPI 1497378467
  NPD Authorized official
• Aditi Gupta M D P a

  • Primary Care Clinic/Center
  • Piscataway, NJ
  • NPI 1437309051
  NPD (past)
• Lenox Hill Radiology & Medical Imaging Associates, PC

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1821036807
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1447440300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 20TH ST",
            "address_2": "APT #2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100098311",
            "telephone_number": "732-259-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STELTON RD STE 3",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543285",
            "telephone_number": "732-752-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NICKHIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB0902260",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "263627",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MB09022600",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "263627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER JERSEY REHAB PA 1629005012",
            "identifier": "784955",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Guiste
• Jasmine Guliani, MD
• Sakina Z Gunja, MD
• Aditi Gupta, M.D.
• Mamta Bansal Gupta, MD
• Pratibha Gupta, HOMEOPATH
• Sumona Gupta
• Lily Gutterman, MD
• H&H Clinic LLC
• H&H Clinic LLC

• Physical Medicine & Rehabilitation Physician in Piscataway, NJ
• Providers in Piscataway, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.