Individual provider Active NPI

Rakesh Vardhan Gupta, M.D.

  • Interventional Cardiology Physician
  • Toms River, NJ
National Provider Identifier
1972554020
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA08323100 Issued in NJ
Practice address
20 Hospital Dr
Suite 12 B
Toms River, NJ 08755-6434
Phone
(732) 240-7777
Fax
(732) 240-7710
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA08323100 NJ Primary

Addresses

Primary practice location

20 Hospital Dr
Suite 12 B
Toms River, NJ 08755-6434

Mailing address

PO Box 148
Toms River, NJ 08754-0148
Phone (732) 240-7777

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
I20090320000261 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072525690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Heart Institute, PAGroup PAC ID 5496812372, 3 clinicians

Practice addresses (Care Compare)

20 Hospital Dr
Toms River, NJ 08755-6434
Phone (732) 240-7777

Hospital & facility affiliations

  • Community Medical Center Hospital, Toms River, NJ, CCN 310041
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
22.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08323100NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Heart Institute, PA Interventional Cardiology CurrentSince Feb 1, 2009 Accepting new patients

Locations

20 Hospital Dr
Ste 12B
Toms River, NJ 08755
Phone (732) 240-7777

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.

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": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1972554020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087540148",
            "telephone_number": "732-240-7777",
            "fax_number": "732-240-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "address_2": "SUITE 12 B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-240-7777",
            "fax_number": "732-240-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "RAKESH",
        "middle_name": "VARDHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08323100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.