Vijay Gupta, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08578400 Issued in NJ

Practice address

28-06 Broadway
Fair Lawn, NJ 07410

Phone

(201) 475-8940

NPI assigned

Jun 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Anesthesiology

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bergen County Anesthesia LLC

  • Anesthesiology Physician
  • Fair Lawn, NJ
  • NPI 1255898987
  Medicare reassignment NPD Authorized official
• Ambulatory Anesthesia Associates

  • Anesthesiology Physician
  • West Orange, NJ
  • NPI 1811368871
  Medicare reassignment NPD
• Midland Pain Management

  • Anesthesiology Physician
  • Fair Lawn, NJ
  • NPI 1245797976
  NPD Authorized official
• Garden State Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fair Lawn, NJ
  • NPI 1891882031
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1508068693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 E CHERYL RD",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589428",
            "telephone_number": "973-567-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-06 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-475-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Teaneck Rd",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664245",
            "country_code": "US",
            "telephone_number": "201-833-7149",
            "fax_number": "201-833-6576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08578400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199036",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Ann Guarinello, LAC
• Marina Guelfguat, DDS
• Ramandeep Kaur Gulati, APN
• Preeti Gupta
• Ramesh C Gupta, M.D.
• Marcia Gurfield
• Aleksandr Gurvich, DDS
• Colleen Habick
• Kimberly Ann Hackaspker, LPC
• Barry A. Halejian, MD

• Anesthesiology Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.