Individual provider Active NPI

Suraj Gupta, M.D. FACP

  • Internal Medicine Physician
  • Toms River, NJ
National Provider Identifier
1770518425
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
057749 Issued in NJ
Practice address
3 Plaza Dr
Suite 4
Toms River, NJ 08757-3759
Phone
(732) 718-7755
Fax
(732) 240-5007
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 057749 NJ Primary

Addresses

Primary practice location

3 Plaza Dr
Suite 4
Toms River, NJ 08757-3759

Mailing address

3 Plaza Dr
Suite 4
Toms River, NJ 08757-3759
Phone (732) 718-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050928000021 NJ Practitioner - Internal Medicine 2365477460 Practice locations: Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Plaza Dr
Toms River, NJ 08757-3764
Phone (732) 240-1555

Hospital & facility affiliations

  • Complete Care at Bey Lea, LLC Nursing home, Toms River, NJ, CCN 315264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
057749NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anil K. Sharma, MD, PA Internal Medicine CurrentSince Jun 21, 2022 Accepting new patients
Kimball Medical Center, Inc Internal Medicine Past Accepting new patients
Hospital Group of South Jersey, PC Internal Medicine Past Accepting new patients
NJ Acute Care Specialists Professional Corporation Internal Medicine Past Accepting new patients
KMC Eeg Department Group Past Accepting new patients
Chilton in Hospital Based Physicians LLC Past Accepting new patients

Locations

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

3 Plaza Dr
Ste 4
Toms River, NJ 08757
Phone (732) 240-1555

99 State Route 37 W
Toms River, NJ 08755
Phone (732) 240-8000

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGHGBA

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1770518425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "SUITE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573759",
            "telephone_number": "732-718-7755",
            "fax_number": "732-240-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PLAZA DR",
            "address_2": "SUITE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087573759",
            "telephone_number": "732-718-7755",
            "fax_number": "732-240-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SURAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.  FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "057749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.