Individual provider Active NPI

Subah Gupta, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1578803227
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
287211 Issued in NY
Practice address
4802 10TH Ave
Brooklyn, NY 11219
Phone
(718) 283-5000
NPI assigned
Feb 17, 2013
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD494090 PA
Diagnostic Radiology Physician 2085R0202X 287211 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219

Mailing address

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (201) 982-8411

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180625002502 NY Practitioner - Diagnostic Radiology 2668727140 Reassigns benefits to 5 organizations
I20260505002181 PA Practitioner - Diagnostic Radiology 2668727140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Maimonides Medical Center - MMC Radiology FPPGroup PAC ID 1456241447, 56 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

16 Brentwood Dr
Ithaca, NY 14850-1863
Phone (607) 277-2179

2094 Pitkin Ave
Brooklyn, NY 11207-3509
Phone (718) 388-5889

220 Steuben St
Montour Falls, NY 14865-9740
Phone (607) 210-1968

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

401 Cayuga Park LN
Ithaca, NY 14850-1180
Phone (607) 339-0625

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6158

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
287211NYMDLicensed Practical Nurse
MD494090PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Aug 22, 2024 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2018 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 22, 2024 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Cayuga Medical Associates, PC CurrentSince Oct 1, 2025 Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients

Locations

2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1578803227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "201-982-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-283-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SUBAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD494090",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "287211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.