Active NPI
Nitin Gupta, MD
- Pediatrics Physician
- Dobbs Ferry, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 253963
- Practice address
- 18 Ashford Ave Ste 3W
Dobbs Ferry, NY 10522-1824 - Phone
- (914) 330-8445
- Fax
- (914) 330-8446
- NPI assigned
- Jan 19, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 253963 | NY | Primary |
Addresses
Primary practice location
18 Ashford Ave Ste 3W
Dobbs Ferry, NY 10522-1824
Mailing address
18 Ashford Ave Ste 3W
Dobbs Ferry, NY 10522-1824
Phone (914) 330-8445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03524834 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253963 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivertowns Pediatrics PC | Pediatrics | Current | Accepting new patients |
| Boston Children's Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| TBHC Pediatric Services PC | Pediatrics | Past | Accepting new patients |
Locations
18 Ashford Ave
Ste 3W
Dobbs Ferry, NY 10522
Phone (914) 330-8445
171 Route 202
Garnerville, NY 10923
Phone (845) 947-1772
22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Pediatrics Physician
- Dobbs Ferry, NY
- NPI 1336617331
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1861628091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1477790061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ASHFORD AVE STE 3W",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105221824",
"telephone_number": "914-330-8445",
"fax_number": "914-330-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 ASHFORD AVE STE 3W",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105221824",
"telephone_number": "914-330-8445",
"fax_number": "914-330-8446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "NITIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-19",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "253963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03524834",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dobbs Ferry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.