Individual provider Active NPI

Mahesh Gupta, PT

  • Physical Therapist
  • Jersey City, NJ
National Provider Identifier
1710437876
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040743 Issued in NY
Practice address
74 Palisade Ave
Apt 6
Jersey City, NJ 07306-1135
Phone
(201) 685-4969
NPI assigned
Oct 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040743 NY Primary

Addresses

Primary practice location

74 Palisade Ave
Apt 6
Jersey City, NJ 07306-1135

Mailing address

74 Palisade Ave
Apt 6
Jersey City, NJ 07306-1135
Phone (201) 685-4969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical and Occupational Therapy PC Physical Therapist CurrentSince Feb 17, 2017 Accepting new patients
Healing Hands Rehab Inc Past Accepting new patients
Best Care Medical Supply Co. Inc. PastSince Nov 15, 2019 Accepting new patients

Locations

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

711 Kearny Ave
#2
Kearny, NJ 07032
Phone (201) 535-8555

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1710437876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PALISADE AVE",
            "address_2": "APT 6",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061135",
            "telephone_number": "201-685-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PALISADE AVE",
            "address_2": "APT 6",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061135",
            "telephone_number": "201-685-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "MAHESH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.