Individual provider Active NPI

Veera Gupta, D.C.

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1871784439
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00659800 Issued in NJ
Practice address
2517 Route 35
Building L; Suite 102
Manasquan, NJ 08736-1918
Phone
(732) 528-9090
Fax
(732) 528-9060
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00659800 NJ Primary

Addresses

Primary practice location

2517 Route 35
Building L; Suite 102
Manasquan, NJ 08736-1918

Mailing address

2517 Route 35
Building L; Suite 102
Manasquan, NJ 08736-1918
Phone (732) 582-9090

Other identifiers 1

IdentifierTypeStateIssuer
119071XG1OtherNJGROUP MEMBER MEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071217000061 NJ Practitioner - Chiropractic 5698865525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Health Chiropractic, LLCGroup PAC ID 0648360578, 2 clinicians

Practice addresses (Care Compare)

2517 Route 35
Suite 102
Manasquan, NJ 08736-1918
Phone (732) 528-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1871784439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ROUTE 35",
            "address_2": "BUILDING L; SUITE 102",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-582-9090",
            "fax_number": "732-528-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 ROUTE 35",
            "address_2": "BUILDING L; SUITE 102",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361918",
            "telephone_number": "732-528-9090",
            "fax_number": "732-528-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "VEERA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00659800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEMBER MEDICARE PTAN",
            "identifier": "119071XG1",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.