Sanjay Gupta, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

182506 Issued in NY

Practice address

1526 Walden Avenue
Suite 400
Cheektowaga, NY 14225-4985

Phone

(716) 895-6700

Fax

(716) 332-4488

NPI assigned

May 4, 2006

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mid-Erie Mental Health Services IncGroup PAC ID 5496707945, 33 clinicians

Kaleida HealthGroup PAC ID 7810805280, 214 clinicians

Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Amherst Psychiatry, PC

  • Psychiatry Physician
  • Buffalo, NY
  • NPI 1942572623
  Medicare reassignment NPD Authorized official
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Medicare reassignment Care Compare group NPD
• Mid Erie Mental Health Services Inc

  • Counselor
  • Cheektowaga, NY
  • NPI 1225095201
  Medicare reassignment Care Compare group NPD
• Roswell Park Cancer Institute

  • Multi-Specialty Clinic/Center
  • Buffalo, NY
  • NPI 1720036593
  Medicare reassignment Care Compare group NPD
• Garden Gate Health Care Facility LLC

  • Skilled Nursing Facility
  • Cheektowaga, NY
  • NPI 1295722460
  Medicare reassignment NPD
• Harris Hill Nursing Facility, LLC

  • Skilled Nursing Facility
  • Williamsville, NY
  • NPI 1013904283
  Medicare reassignment NPD
• Kenmore Mercy Hospital

  • General Acute Care Hospital
  • Kenmore, NY
  • NPI 1770598104
  Medicare reassignment NPD
• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Medicare reassignment NPD
• Mount St. Mary's Hospital of Niagara Falls

  dba Mount St. Mary's Hospital and Health Center

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Medicare reassignment NPD
• North Gate Health Care Facility LLC

  • Skilled Nursing Facility
  • North Tonawanda, NY
  • NPI 1659368827
  Medicare reassignment NPD
• Seneca Health Care Center LLC

  • Skilled Nursing Facility
  • West Seneca, NY
  • NPI 1003803271
  Medicare reassignment NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1740238906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VIA FORESTA LANE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211982",
            "telephone_number": "716-895-6700",
            "fax_number": "716-332-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVENUE",
            "address_2": "SUITE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254985",
            "telephone_number": "716-895-6700",
            "fax_number": "716-332-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Elm St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031104",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "182506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01570974",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Gruenthaner
• George John Gryko, R.PH.
• Cathy Guenther, LPN
• Michael P Gugliuzza, PARAMEDIC
• Felicia L Gulley, LPN
• Jennifer F Guseth, PA
• Glenice Joanne Guthrie, LPN
• Linda Guynn, LPN
• Monica C Guzzetta
• Jacob Habermehl, LAT

• Psychiatry Physician in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.