Avinash C Gupta MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA60539 Issued in NJ

Legal business name

AVINASH C GUPTA MD PC

Practice address

637 River Ave
Lakewood, NJ 08701

Phone

(732) 886-9101

Fax

(732) 886-9523

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Avinash C Gupta, MDNPI 1265531487

Title

MD

Phone

(732) 886-9101

Specialties & licenses 1

Addresses

Other names 1

• Avinash C Gupta MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avinash C Gupta, MD

  • Cardiovascular Disease Physician
  • Lakewood, NJ
  • NPI 1265531487
  Medicare reassignment Care Compare group NPD Authorized official
• Geeta Gupta, MD

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1659383651
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467595751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-886-9101",
            "fax_number": "732-886-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-886-9101",
            "fax_number": "732-886-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVINASH C GUPTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-886-9101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA60539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avinash C Gupta MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cardiovascular Disease Physician in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.