SHELLY GUPTA (NPI# 1285075481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285075481 |
| Entity Type | Individual |
| Full Name | SHELLY GUPTA |
| Credential | M.D. |
| Practice Address |
6 New Ln Apartment 3a Staten Island NY 10305-3100 |
| Mailing Address |
Po Box 19070 Apartment 3a Green Bay WI 54307-9070 |
| Practice Telephone | 2405050469 |
| Mailing Telephone | 9204964700 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 65095 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609227529 | Shelly Gupta | Internal Medicine | 1200 Old York Rd, Abington, PA 19001-3720 | 2016-06-22 |
| 1831558329 | Shelly Gupta | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2016-02-12 |
| Street Address |
6 NEW LN APARTMENT 3A |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033572037 | Erin Babitts | Social Worker | 6 New Ln, 2a, Staten Island, NY 10305-3100 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404720 | Medical Doctor Milena Kolesnikova PC | Internal Medicine | 586 Midland Ave Ste B, Staten Island, NY 10306-5903 | 2020-07-07 |
| 1962913459 | Vaithilingam Arulthasan Md PC | Internal Medicine | 57 Andes Pl, Staten Island, NY 10314-5524 | 2017-10-24 |
| 1306384839 | Nazar Sharak | Internal Medicine | 7 Father Capodanno Blvd, Staten Island, NY 10305-4801 | 2017-02-03 |
| 1326494485 | Syed Shahab Kazmi | Internal Medicine | 355 Bard Ave Dept of Medicine Villa Building, 1st Floor, Staten Island, NY 10310-1664 | 2016-05-09 |
| 1114380383 | Crown Neurology, P.C. | Internal Medicine | 1181 Woodrow Rd, Staten Island, NY 10309-1723 | 2016-04-04 |
| 1114386265 | Maryline Shang Nformi | Internal Medicine | 355 Bard Avenue, Dep't of Medicine Villa B'dg 1st Floor, Staten Island, NY 10310-1664 | 2016-02-17 |
| 1639557382 | Charles Sineri | Internal Medicine | 104 Nashville St, Staten Island, NY 10307-1325 | 2015-05-14 |
| 1669866158 | Ellis Enabosi | Internal Medicine | 455 Jersey St, Staten Island, NY 10301-2976 | 2015-03-24 |
| 1780086363 | Prr Diagnostic Medicine PC | Internal Medicine | 1265 Clove Rd, Staten Island, NY 10301-4339 | 2014-09-25 |
| 1689088403 | Ashraf Saad Dwal | Internal Medicine | 355 Bard Ave Dept Of, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2014-06-19 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.