Gupta Gastro Associate Office Based Surgery, P.C.

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

148223 Issued in NY

Legal business name

GUPTA GASTRO ASSOCIATE OFFICE BASED SURGERY, P.C.

Practice address

130 Avenue P
Brooklyn, NY 11204-6362

Phone

(718) 372-7434

Fax

(718) 266-2663

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Neville Gupta

Title

Administrator

Phone

(718) 372-7434

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1497878581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046362",
            "telephone_number": "718-372-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112046362",
            "telephone_number": "718-372-7434",
            "fax_number": "718-266-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA GASTRO ASSOCIATE OFFICE BASED SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-372-7434",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "148223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION HEALTH CARE ORGANIZATION #",
            "identifier": "432552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Songchuan Guo, M.D.
• Wei Guo, PT
• Yujun Guo
• James Evbanvban Guobadia, M. SC, OTD, OTR/L
• Marie Guobadia, MD
• Anju Gupta-Modak, MD
• Akriti Gupta, D.M.D.
• Anu Gupta, M.D.
• Anupama Gupta, DMD
• Arsh Ricki Gupta, M.D.

• Endoscopy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Endoscopy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.