Organization Active NPI

Nickhil Gupta DO PC

  • Medical Specialty Clinic/Center
  • Paramus, NJ
National Provider Identifier
1497378467
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
NICKHIL GUPTA DO PC
Practice address
37 W Century Rd Ste 106
Paramus, NJ 07652-1466
Phone
(800) 750-8616
Fax
(845) 362-8474
NPI assigned
May 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Authorized official

Name
Nickhil Gupta, MDNPI 1447440300
Title
Owner
Phone
(800) 750-8616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

37 W Century Rd Ste 106
Paramus, NJ 07652-1466

Mailing address

26 Firemens Memorial Dr Ste 115
Pomona, NY 10970-3569
Phone (845) 362-8400

National Provider Directory

National Provider Directory

Locations

37 W Century Rd
Ste 106
Paramus, NJ 07652
Phone (201) 523-7800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1497378467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR STE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703569",
            "telephone_number": "845-362-8400",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD STE 106",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "800-750-8616",
            "fax_number": "845-362-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKHIL GUPTA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NICKHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-750-8616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.