Active NPI
Suneepa Gupta
- Physical Therapist
- Newark, NJ
National Provider Identifier
1972887891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 031498-1
- Practice address
- 108-136 Martin Luther King Jr Blvd
Apt 1312-B
Newark, NJ 07104-5348 - Phone
- (201) 598-4385
- NPI assigned
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 031498-1 | NY | Primary |
Addresses
Primary practice location
108-136 Martin Luther King Jr Blvd
Apt 1312-B
Newark, NJ 07104-5348
Mailing address
108-136 Martin Luther King Jr Blvd
Apt 1312-B
Newark, NJ 07104-5348
Phone (201) 598-4385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031498-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1972887891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108-136 MARTIN LUTHER KING JR BLVD",
"address_2": "APT 1312-B",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071045348",
"telephone_number": "201-598-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108-136 MARTIN LUTHER KING JR BLVD",
"address_2": "APT 1312-B",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071045348",
"telephone_number": "201-598-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "SUNEEPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031498-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.