Indranil Gupta, Physician, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

INDRANIL GUPTA, PHYSICIAN, PC

Doing business as

Pediatric Plus

Practice address

3187 Steinway St Ste 6
Astoria, NY 11103-3952

Phone

(718) 626-4881

NPI assigned

May 20, 2019

Organization subpart

No

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

Authorized official

Name

Indranil GuptaNPI 1952474504

Title

President

Phone

(718) 626-4881

Specialties & licenses 1

Addresses

Other names 1

• PEDIATRIC PLUS Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Indranil Gupta, MD

  • Pediatrics Physician
  • Astoria, NY
  • NPI 1952474504
  NPD (past) Authorized official
• Richard Arias, RPA-C

  • Medical Physician Assistant
  • Astoria, NY
  • NPI 1730206699
  NPD (past)
• Catherine Haerin Cho, PA-C

  • Physician Assistant
  • Fairfax, VA
  • NPI 1528306214
  NPD (past)

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1740847391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3187 STEINWAY ST STE 6",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033952",
            "telephone_number": "718-626-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3187 STEINWAY ST STE 6",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033952",
            "telephone_number": "718-626-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDRANIL GUPTA, PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "INDRANIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-626-4881"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.