Shawn Gupta, MD
Internal Medicine in Newark, New Jersey
1922629096- Practice location
- 111 Central Ave, Newark, NJ 07102-1909
- Phone
- 973-877-5000
- Fax
- —
- Last updated
- November 22, 2024
Shawn Gupta is an Internal Medicine based in Newark, NJ. Shawn Gupta practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Shawn Gupta is 1922629096 and holds a License No. 25MA11872400 (NJ). The current practice location address for Shawn Gupta is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5000.
Provider Profile Details
- NPI Number
- 1922629096
- Provider Name
- Shawn Gupta
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 111 Central Ave, Newark, NJ 07102-1909
- Phone Number
- 973-877-5000
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 30, 2020
- Last Update Date
- November 22, 2024
- Certification Date
- November 22, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Central Ave
Newark, NJ 07102-1909 - City
- Newark
- State
- New Jersey
- Zip
- 07102-1909
- Phone Number
- 973-877-5000
Provider Business Mailing Address Details
- Address
- 1200 Frank E Rodgers Blvd S Apt 3105
Harrison, NJ 07029-2454 - City
- Harrison
- State
- NJ
- Zip
- 07029-2454
- Phone Number
- 609-668-8340
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 25MA11872400
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shawn Gupta, MD?
The NPI number of Shawn Gupta, MD is 1922629096. It was assigned on April 30, 2020 and is currently active in the NPPES registry.
What is the specialty of Shawn Gupta, MD?
Shawn Gupta, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA11872400.
Where does Shawn Gupta, MD practice?
The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5000 (phone).
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 1922629096 directly on the NPPES registry website.