NPIMap

Organization Active NPI

Linden Medical Associates MD PC

Doing business as Roselle Park Medical Group

  • Internal Medicine Physician
  • Roselle Park, NJ
National Provider Identifier
1720415706
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06083100 Issued in NJ
Legal business name
LINDEN MEDICAL ASSOCIATES MD PC
Doing business as
Roselle Park Medical Group
Practice address
331 Chestnut St
Roselle Park, NJ 07204-1948
Phone
(908) 245-9444
Fax
(908) 245-8826
NPI assigned
Oct 4, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LINDEN MEDICAL ASSOCIATES MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. Juhee Gupta, MD
Title
President
Phone
(908) 245-9444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22293 NJ
Internal Medicine Physician 207R00000X 25MA06083100 NJ Primary
Hematology & Oncology Physician 207RH0003X 25MA06083100 NJ

Addresses

Primary practice location

331 Chestnut St
Roselle Park, NJ 07204-1948

Mailing address

331 Chestnut St
Roselle Park, NJ 07204-1948
Phone (908) 245-9444

Other identifiers 1

IdentifierTypeStateIssuer
0014583MedicaidNJ

Other names 1

  • Roselle Park Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Linden Med Assoc MD PC2 organizations share this tax ID, including this one
Part of
Linden Med Assoc MD PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1720415706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041948",
            "telephone_number": "908-245-9444",
            "fax_number": "908-245-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CHESTNUT ST",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072041948",
            "telephone_number": "908-245-9444",
            "fax_number": "908-245-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN MEDICAL ASSOCIATES MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINDEN MEDICAL ASSOCIATES MD PC",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-245-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "22293",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06083100",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA06083100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014583",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roselle Park Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roselle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.