Ritu Gupta, APRN
Individual provider Active NPI Family Nurse Practitioner · Riverside, CT
NPI 1598033243 · NPPES record last updated Apr 27, 2017
Key facts
- NPI
- 1598033243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 004868 (CT)
- Practice address
- 1239 E Putnam Ave
Riverside, CT 06878-1522 - Phone
- (203) 698-4006
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- TMS Neurohealth PLLC
Practice addresses (Care Compare)
140 Sherman St
FL 5
Fairfield, CT 06824-5849
Phone (855) 940-4867
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150612001806 | CT | Practitioner - Nurse Practitioner | 4688985930 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4868 | CT | MD | Psychologist |
| 004868 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current |
Accepting new patients | |
| TMS Neurohealth PLLC | Current |
Accepting new patients |
Locations
111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540
64 Thompson St
Ste A105
East Haven, CT 06513
Phone (203) 635-8350
140 Sherman St
Fl 5
Fairfield, CT 06824
Phone (203) 482-4463
140 Sherman St
Ste 5
Fairfield, CT 06824
901 Farmington Ave
Ste 300
West Hartford, CT 06119
836 Farmington Ave
Ste 109
West Hartford, CT 06119
Phone (203) 691-1685
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004868 | CT | Yes |
Addresses
Primary practice location
1239 E Putnam Ave
Riverside, CT 06878-1522
Mailing address
1239 E Putnam Ave
Riverside, CT 06878-1522
Phone (203) 698-4006
Other names
- Mrs. Ritu Gupta
Other providers in Riverside, CT
- Greenwich Emergency Medical Service, Inc.
- Greenwich Physical Therapy Center, P.C.
- Greenwich Walk-in Medical Care
- Greenwich Wellness, LLC
- Hillary Grogan
- Marc Ronald Hamet
- Shanel Harkness
- Nadia Touria Havas
- Jane Hawman
- Diane Herman
All providers in Riverside, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.