Organization Active NPI

Gmed Healthcare PC

  • Family Medicine Physician
  • Clifton, NJ
National Provider Identifier
1508169160
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08471700 Issued in NJ
Legal business name
GMED HEALTHCARE PC
Practice address
842 Clifton Ave
Clifton, NJ 07013-1800
Phone
(973) 330-6765
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Vikram Gupta, MDNPI 1750538609
Title
Owner
Phone
(973) 330-6765

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA08471700 NJ Primary

Addresses

Primary practice location

842 Clifton Ave
Clifton, NJ 07013-1800

Mailing address

842 Clifton Ave
Clifton, NJ 07013-1800
Phone (973) 330-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000803 NJ Part B Supplier - Clinic/Group Practice 8022292564 Receives reassigned benefits from 8 practitioners
Practice locations: Clifton, NJ; Passaic, NJ; Paterson, NJ

National Provider Directory

National Provider Directory

Locations

246 Clifton Ave
Ste 6
Clifton, NJ 07011
Phone (551) 200-2930

246 Clifton Ave
Ste 4
Clifton, NJ 07011
Phone (973) 330-6765

37 Brook Ave
Fl 1
Maywood, NJ 07607

37 Brook Ave
Maywood, NJ 07607
Phone (201) 291-8811

124 Gregory Ave
Ste 102
Passaic, NJ 07055
Phone (973) 777-1132

466 Chamberlain Ave
Ste 2
Paterson, NJ 07522
Phone (973) 928-2715

Practitioners & affiliated clinicians

Practitioners 8

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": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1508169160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131800",
            "telephone_number": "973-330-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CLIFTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131800",
            "telephone_number": "973-330-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMED HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-330-6765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08471700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.