NPIMap

Organization Active NPI

Vijay K. Gupta, M.D.

  • Nephrology Physician
  • Cedar Grove, NJ
National Provider Identifier
1932391448
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
VIJAY K. GUPTA, M.D.
Practice address
33 Club Way
Cedar Grove, NJ 07009-2054
Phone
(973) 779-1467
Fax
(973) 324-7945
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Dr. Vijay K Gupta, MD
Title
Owner
Phone
(973) 779-1467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

33 Club Way
Cedar Grove, NJ 07009-2054

Mailing address

285 Lexington Ave
Passaic, NJ 07055-6308
Phone (973) 779-1467

Other identifiers 1

IdentifierTypeStateIssuer
2984202MedicaidNJ

National Provider Directory

National Provider Directory

Locations

285 Lexington Ave
Passaic, NJ 07055
Phone (973) 779-1467

Practitioners & affiliated clinicians

Practitioners 4

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1932391448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 LEXINGTON AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070556308",
            "telephone_number": "973-779-1467",
            "fax_number": "973-239-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLUB WAY",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070092054",
            "telephone_number": "973-779-1467",
            "fax_number": "973-324-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY K. GUPTA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-779-1467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2984202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.