Active NPI
Alicja Gupta MDPC
- Internal Medicine Physician
- Quincy, MA
National Provider Identifier
1790803294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALICJA GUPTA MDPC
- Practice address
- 21 Mayor Thomas J McGrath Hwy
Suite 202
Quincy, MA 02169-5351 - Phone
- (617) 773-2709
- Fax
- (617) 479-4642
- NPI assigned
- Mar 26, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alicja U Gupta, MD
- Title
- President
- Phone
- (617) 773-2709
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
21 Mayor Thomas J McGrath Hwy
Suite 202
Quincy, MA 02169-5351
Mailing address
21 Mayor Thomas J McGrath Hwy
Suite 202
Quincy, MA 02169-5351
Phone (617) 773-2709
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2027879 | Medicaid | MA | |
| 1295731032 | Other | MA | INDIVIDUAL NPI |
| 9715291 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Quincy, MA
- NPI 1295731032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790803294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAYOR THOMAS J MCGRATH HWY",
"address_2": "SUITE 202",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695351",
"telephone_number": "617-773-2709",
"fax_number": "617-479-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MAYOR THOMAS J MCGRATH HWY",
"address_2": "SUITE 202",
"city": "QUINCY",
"state": "MA",
"postal_code": "021695351",
"telephone_number": "617-773-2709",
"fax_number": "617-479-4642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICJA GUPTA MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ALICJA",
"authorized_official_middle_name": "U",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-773-2709",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2027879",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1295731032",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9715291",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.