Individual provider Active NPI

Shalini Mehra-Gupta, M.D

  • Internal Medicine Physician
  • Red Bank, NJ
National Provider Identifier
1740525294
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07362500 Issued in NJ
Practice address
211 Shrewsbury Ave
Red Bank, NJ 07701-1250
Phone
(732) 212-0777
NPI assigned
Dec 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07362500 NJ Primary

Addresses

Primary practice location

211 Shrewsbury Ave
Red Bank, NJ 07701-1250

Mailing address

211 Shrewsbury Ave
Red Bank, NJ 07701-1250
Phone (732) 212-0777

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07362500NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Health Group, PC Internal Medicine Past Accepting new patients

Organizations & group practices 1

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": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1740525294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SHREWSBURY AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011250",
            "telephone_number": "732-212-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SHREWSBURY AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011250",
            "telephone_number": "732-212-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRA-GUPTA",
        "first_name": "SHALINI",
        "name_prefix": "Prof.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07362500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.