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MR. SANJEEV GUPTA MD NPI 1558360693


NPI Information

NPI: 1558360693
Provider Name: MR. SANJEEV GUPTA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

CLIA Number: 33D1005939

Address:
31 HOSPITAL DR
MASSENA, NY
ZIP 13662
Phone: (315) 769-1099
Get Directions

MR. Sanjeev Gupta, MD is a pediatrics in Massena, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MR. Sanjeev Gupta, MD NPI is 1558360693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31 HOSPITAL DR
MASSENA, NY
ZIP 13662
Phone: (315) 769-1099
Fax: (315) 769-1077

The CLIA number assigned to this NPI record is 33D1005939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 7/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine210511NEW YORKNo
2208000000XPediatrics210511NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101647974MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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