Organization Active NPI

Saroj Gupta MD P.C.

  • Medical Specialty Clinic/Center
  • Jamaica, NY
National Provider Identifier
1841441839
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
150180 Issued in NY
Legal business name
SAROJ GUPTA MD P.C.
Practice address
18016 Wexford Ter
Jamaica, NY 11432-3000
Phone
(718) 658-5639
Fax
(718) 658-7474
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. Saroj Gupta, MD.NPI 1396749214
Title
President
Phone
(718) 658-5639

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
Medical Specialty Clinic/Center 261QM2500X 150180 NY Primary

Addresses

Primary practice location

18016 Wexford Ter
Jamaica, NY 11432-3000

Mailing address

18016 Wexford Ter
Jamaica, NY 11432-3000
Phone (718) 658-5639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081126000205 NY Part B Supplier - Clinic/Group Practice 2769542463 Receives reassigned benefits from 1 practitioner
Practice locations: Jamaica Estates, NY

National Provider Directory

National Provider Directory

Locations

18016 Wexford Ter
Ste Cb
Jamaica, NY 11432
Phone (718) 658-5639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1841441839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18016 WEXFORD TER",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323000",
            "telephone_number": "718-658-5639",
            "fax_number": "718-658-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18016 WEXFORD TER",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323000",
            "telephone_number": "718-658-5639",
            "fax_number": "718-658-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAROJ GUPTA MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SAROJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-658-5639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "150180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.