Active NPIIndividual provider

Dr. Kavita Gupta, MD

Internal Medicine, Geriatric Medicine in Cedar Grove, New Jersey

NPI Number1073833554
Practice location
388 Pompton Ave, Suite 4, Cedar Grove, NJ 07009-1814
Fax
973-787-3242
Last updated
April 1, 2020

Kavita Gupta is an Internal Medicine, Geriatric Medicine based in Cedar Grove, NJ. Kavita Gupta practices in Cedar Grove, NJ and has the professional credentials of MD. The NPI Number for Kavita Gupta is 1073833554 and holds a License No. 25MA09261300 (NJ). The current practice location address for Kavita Gupta is 388 Pompton Ave, Suite 4, Cedar Grove, NJ 07009-1814 and can be reached out via phone at 973-302-5630 and via fax at 973-787-3242.

Provider Profile Details

NPI Number
1073833554
Provider Name
Kavita Gupta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
388 Pompton Ave, Suite 4, Cedar Grove, NJ 07009-1814
Phone Number
973-302-5630
Fax Number
973-787-3242
Primary Taxonomy
Internal Medicine, Geriatric Medicine · 207RG0300X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2010
Last Update Date
April 1, 2020
Certification Date
April 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
388 Pompton Ave
Suite 4
Cedar Grove, NJ 07009-1814
Zip
07009-1814
Phone Number
973-302-5630
Fax Number
973-787-3242
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
388 Pompton Ave
Suite 4
Cedar Grove, NJ 07009-1814
City
Cedar Grove
State
NJ
Zip
07009-1814
Phone Number
973-302-5630
Fax Number
973-787-3242

License Information

License Number (1)
25MA09261300
License State (1)
NJ
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
25MA09261300
License State (2)
NJ
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kavita Gupta, MD?

The NPI number of Dr. Kavita Gupta, MD is 1073833554. It was assigned on June 7, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Kavita Gupta, MD?

Dr. Kavita Gupta, MD is registered under the primary taxonomy Internal Medicine, Geriatric Medicine (code 207RG0300X), licensed in NJ under license number 25MA09261300.

Where does Dr. Kavita Gupta, MD practice?

The practice location is 388 Pompton Ave, Suite 4, Cedar Grove, NJ 07009-1814. The office can be reached at 973-302-5630 (phone) or 973-787-3242 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073833554 directly on the NPPES registry website.

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