Individual provider Active NPI

Vipan Kumar Gupta, MD

  • Internal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1871588988
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06594200 Issued in NJ
Practice address
718 Teaneck Rd
Department of Practice Management
Teaneck, NJ 07666-4245
Phone
(201) 833-7265
Fax
(201) 881-6295
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06594200 NJ Primary
General Practice Physician 208D00000X 25MA06594200 NJ

Addresses

Primary practice location

718 Teaneck Rd
Department of Practice Management
Teaneck, NJ 07666-4245

Mailing address

718 Teaneck Rd
Dept of Practice Management
Teaneck, NJ 07666-4245
Phone (201) 833-3000

Other identifiers 1

IdentifierTypeStateIssuer
7774702MedicaidNJ

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
I20050104000016 NJ Practitioner - Internal Medicine 1658339940 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Bergen HospitalistsGroup PAC ID 6002107976, 11 clinicians

Practice addresses (Care Compare)

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (732) 936-6447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06594200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Dec 12, 2019 Accepting new patients
Passaic Hospitalist Services, LLC CurrentSince Aug 1, 2024 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Jul 10, 2017 Accepting new patients
North Bergen Hospitalists CurrentSince Aug 5, 2024 Accepting new patients
Inhospital Physicians Corp of New Jersey, PC Internal Medicine CurrentSince Aug 14, 2024 Accepting new patients
Capital Health Multispecialty Group Internal Medicine CurrentSince Sep 11, 2019 Accepting new patients
Optum Medical Care of New Jersey PC General Practice CurrentSince Dec 12, 2019 Accepting new patients
Prime Healthcare Services - St. Mary's Passaic LLC Past Accepting new patients
Clara Maass Medical Center House Physicians Internal Medicine Past Accepting new patients
Eoh Acquisition Group, LLC Past Accepting new patients
Physician Associates of Northern New Jersey, PC Past Accepting new patients
Jema Physicians' Services, L.L.C. Past Accepting new patients
Evergreen Physicians of North Jersey, PC Internal Medicine PastSince Dec 8, 2006 Accepting new patients
Njmhmc, LLC Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients
House Physician Partners, PC General Practice Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

96 Parkway
Spc Hosp
Rochelle Park, NJ 07662
Phone (973) 450-2540

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

38 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 866-5151

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1871588988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "address_2": "DEPT OF PRACTICE MANAGEMENT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "address_2": "DEPARTMENT OF PRACTICE MANAGEMENT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-7265",
            "fax_number": "201-881-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VIPAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06594200",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA06594200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7774702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.