NPIMap

Individual provider Active NPI

Abhinai Kesav Gupta, M.D,M.P.H

  • Nephrology Physician
  • Woodbury, NJ
National Provider Identifier
1699784298
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD433089 Issued in PA
Practice address
730 N Broad St
St 101
Woodbury, NJ 08096-1796
Phone
(856) 384-0238
Fax
(856) 384-4788
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD433089 PA Primary

Addresses

Primary practice location

730 N Broad St
St 101
Woodbury, NJ 08096-1796

Mailing address

730 N Broad St
St 101
Woodbury, NJ 08096-1796
Phone (856) 384-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190322000924 GA Practitioner - NephrologyPractitioner - Internal Medicine 0547289001 Reassigns benefits to 1 organization
I20191118002399 SC Practitioner - NephrologyPractitioner - Internal Medicine 0547289001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Nephrology and Internal Medicine Associates, PCGroup PAC ID 0749271740, 5 clinicians

Practice addresses (Care Compare)

10263 Atomic Rd
North Augusta, SC 29841-4484
Phone (706) 722-0186

818 Saint Sebastian Way
Suite 300
Augusta, GA 30901-2652
Phone (706) 722-0186

818 Saint Sebastian Way
Suite 300
Augusta, GA 30901-2653

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Nephrology and Internal Medicine Associates, PC CurrentSince Mar 1, 2019 Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

818 Saint Sebastian Way
Ste 300
Augusta, GA 30901
Phone (706) 722-0186

10263 Atomic Rd
North Augusta, SC 29841
Phone (706) 722-0186

Interoperability endpoints

  • Direct secure messaging: agupta@lyonschvala.gwaydirect.com

Organizations & group practices 2

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 10

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1699784298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "ST 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N BROAD ST",
            "address_2": "ST 101",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961796",
            "telephone_number": "856-384-0238",
            "fax_number": "856-384-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ABHINAI",
        "middle_name": "KESAV",
        "name_prefix": "Dr.",
        "credential": "M.D,M.P.H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD433089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.