Neena Gupta, DO, PA/Dba Sample Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEENA GUPTA, DO, PA/DBA SAMPLE MEDICAL CENTER

Practice address

5430 W Sample Rd
Margate, FL 33073-3453

Phone

(954) 968-4000

Fax

(954) 968-4099

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Neena Gupta, DO

Title

Owner

Phone

(954) 968-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1639118516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330733453",
            "telephone_number": "954-968-4000",
            "fax_number": "954-968-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 W SAMPLE RD",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330733453",
            "telephone_number": "954-968-4000",
            "fax_number": "954-968-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEENA GUPTA, DO, PA/DBA SAMPLE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "NEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-968-4000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274556900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Margate, FL
• Providers in Margate, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.