Active NPI
Isha Duggal Gupta, M.D.
- Neurology Physician
- Union, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA09899900
- Practice address
- 1057 Commerce Ave
Union, NJ 07083-5025 - Phone
- (908) 688-2377
- NPI assigned
- Jul 10, 2011
- Last updated
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA09899900 | NJ | Primary |
| Neurology Physician | 2084N0400X | 284850-1 | NY |
Addresses
Primary practice location
1057 Commerce Ave
Union, NJ 07083-5025
Mailing address
1057 Commerce Ave
Apt 2B
Union, NJ 07083-5025
Phone (301) 802-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 284850-1 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Igea Brain & Spine,PA | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Locations
1057 Commerce Ave
Apt 2B
Union, NJ 07083
1057 Commerce Ave
Union, NJ 07083
Phone (866) 467-1770
150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGJJCD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Union, NJ
- NPI 1710103288
-
dba Neurology Department of Mount Sinai
- Neurological Surgery Physician
- New York, NY
- NPI 1558627844
-
dba New York Eye & Ear Optical Shop
- Eyewear Supplier
- New York, NY
- NPI 1760227466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1740577857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 COMMERCE AVE",
"address_2": "APT 2B",
"city": "UNION",
"state": "NJ",
"postal_code": "070835025",
"telephone_number": "301-802-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 COMMERCE AVE",
"city": "UNION",
"state": "NJ",
"postal_code": "070835025",
"telephone_number": "908-688-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "ISHA",
"middle_name": "DUGGAL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-10",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA09899900",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "284850-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.