Organization Active NPI

Vipin Kumar Gupta , MD PA

  • Neurological Surgery Physician
  • Vineland, NJ
National Provider Identifier
1831439272
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MA49156 Issued in NJ
Legal business name
VIPIN KUMAR GUPTA , MD PA
Practice address
2848 S Delsea Dr Ste 2B
Vineland, NJ 08360-7042
Phone
(856) 691-7474
Fax
(856) 691-0372
NPI assigned
Feb 21, 2013
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Dr. Vipin K Gupta, MDNPI 1851351035
Title
Neurologist
Phone
(856) 691-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MA49156 NJ Primary

Addresses

Primary practice location

2848 S Delsea Dr Ste 2B
Vineland, NJ 08360-7042

Mailing address

2848 S Delsea Drive BLDG 2B
Vineland, NJ 08360
Phone (856) 691-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130401000069 NJ Part B Supplier - Clinic/Group Practice 1658516356 Receives reassigned benefits from 1 practitioner
Practice locations: Vineland, NJ

National Provider Directory

National Provider Directory
Tax ID family
Vipin Gupta MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2848 S Delsea Dr
Ste 2B
Vineland, NJ 08360
Phone (856) 691-7474

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1831439272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DRIVE BLDG 2B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "08360",
            "telephone_number": "856-691-7474",
            "fax_number": "856-691-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR STE 2B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "856-691-7474",
            "fax_number": "856-691-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIPIN KUMAR GUPTA , MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIPIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "856-691-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NJ",
            "license": "MA49156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.