Active NPI
Hina T Gupta MD PA
- Otolaryngology Physician
- Pompano Beach, FL
National Provider Identifier
1699179283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME113564
- Legal business name
- HINA T GUPTA MD PA
- Practice address
- 601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443 - Phone
- (954) 773-2383
- Fax
- (954) 783-6845
- NPI assigned
- Oct 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hina T Gupta, MD
- Title
- Owner
- Phone
- (319) 621-8376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME113564 | FL | Primary |
Addresses
Primary practice location
601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443
Mailing address
601 E Sample Rd Ste 105
Pompano Beach, FL 33064-4443
Phone (954) 773-2383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007743000 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Hina T Gupta MD PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Otolaryngology Physician
- Coral Springs, FL
- NPI 1275962839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412899200000",
"number": "1699179283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E SAMPLE RD STE 105",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330644443",
"telephone_number": "954-773-2383",
"fax_number": "954-783-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E SAMPLE RD STE 105",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330644443",
"telephone_number": "954-773-2383",
"fax_number": "954-783-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HINA T GUPTA MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "HINA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "319-621-8376",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME113564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007743000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.