Active NPI
Vipan Kumar Gupta, MD
- Internal Medicine Physician
- Teaneck, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06594200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7774702 | Medicaid | NJ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06594200 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Passaic Hospitalist Services, LLC | Current | Accepting new patients | |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| North Bergen Hospitalists | Current | Accepting new patients | |
| Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | Current | Accepting new patients |
| Capital Health Multispecialty Group | Internal Medicine | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | General Practice | Current | 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 | Past | 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.
-
- Hospitalist Physician
- North Bergen, NJ
- NPI 1689028946
-
- Emergency Medicine Physician
- Bayonne, NJ
- NPI 1700014545
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
-
- Hospitalist Physician
- Paterson, NJ
- NPI 1144903733
-
- Pediatrics Physician
- New Hyde Park, NY
- NPI 1578665048
Internal Medicine, NJ
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
General Practice
-
- Internal Medicine Physician
- Belleville, NJ
- NPI 1861441883
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1912956152
-
- Emergency Medicine Physician
- Passaic, NJ
- NPI 1003861675
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CareWell Health Medical Center
- General Acute Care Hospital
- East Orange, NJ
- NPI 1013386143
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.