Compassionate Pediatrics LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA55012 Issued in NJ

Legal business name

COMPASSIONATE PEDIATRICS LLC

Practice address

952 Main St
Hackensack, NJ 07601-5183

Phone

(201) 488-2200

Fax

(201) 488-0211

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raksha R Gupta, MDNPI 1295816270

Title

Provider

Phone

(201) 488-2200

Specialties & licenses 1

Addresses

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.

• Raksha R Gupta, MD

  • Pediatrics Physician
  • Hackensack, NJ
  • NPI 1295816270
  Authorized official Same address or phone

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1922351345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015183",
            "telephone_number": "201-488-2200",
            "fax_number": "201-488-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015183",
            "telephone_number": "201-488-2200",
            "fax_number": "201-488-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAKSHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "201-488-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA55012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.