DR. SAURABH GUPTA (NPI# 1972884856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972884856 |
| Entity Type | Individual |
| Full Name | DR. SAURABH GUPTA |
| Credential | MD |
| Practice Address |
500 Commack Rd Commack NY 11725-5020 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6316322428 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
296845 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036139724 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934788 | Saurabh Gupta | Surgery | 15 S Exeter St, Baltimore, MD 21202-4603 | 2016-06-30 |
| 1952746802 | Saurabh Gupta | Radiology | 2675 N Decatur Rd Ste 310, Decatur, GA 30033-6133 | 2013-05-06 |
| 1740381334 | Saurabh Gupta | Psychiatry & Neurology | 100 Rockford Drive, Newark, DE 19713 | 2006-09-26 |
| 1164927059 | Saurabh Gupta | Student in an Organized Health Care Education/Training Program | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2018-03-24 |
| 1992080956 | Saurabh Kumar Gupta | Occupational Therapist | 2075 Nw Highland Ave, Grant Pass, OR 97526 | 2011-10-20 |
| 1275816365 | Saurabh Gupta | Radiology | 3401 Civic Center Blvd, Department of Pediatric Radiology, Philadelphia, PA 19104-4319 | 2011-09-24 |
| 1336435189 | Saurabh Gupta | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-06-21 |
| 1356637185 | Saurabh Gupta | Clinical Neuropsychologist | 3990 Old Town Ave, Ste. A-208, San Diego, CA 92110-2930 | 2011-06-20 |
| 1457669228 | Saurabh Gupta | Internal Medicine | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2010-09-15 |
| 1578792792 | Saurabh C. Gupta | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2009-07-09 |
| Street Address |
500 COMMACK RD |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363150 | Nita Kaul | Internal Medicine | 500 Commack Rd, Suite 103, Commack, NY 11725-5020 | 2005-08-12 |
| 1033777073 | Jennifer Lee Solan | Nurse Practitioner | 500 Commack Rd, Commack, NY 11725 | 2019-06-04 |
| 1356821292 | Sahana Choudhury | Registered Nurse | 500 Commack Rd, Commack, NY 11725-5020 | 2018-08-20 |
| 1396293122 | Karen Middel -jones | Nurse Practitioner | 500 Commack Rd, Commack, NY 11725 | 2016-09-21 |
| 1780051482 | Nicoleta V Koschack | Nurse Practitioner | 500 Commack Rd, Commack, NY 11725-5020 | 2015-08-28 |
| 1437579554 | Sunya Ashraf | Internal Medicine | 500 Commack Rd, Commack, NY 11725-5020 | 2014-04-16 |
| 1114345147 | Jacqueline Lenoci | Ophthalmology | 500 Commack Rd, Commack, NY 11725-5020 | 2014-04-07 |
| 1740619022 | Lila Ahned Moustafa | Pharmacist | 500 Commack Rd, Commack, NY 11725-5020 | 2013-11-06 |
| 1407980097 | Debra Ann Hickey | Nurse Practitioner | 500 Commack Rd, Commack, NY 11725-5020 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710033287 | Mary J Thomas | Psychiatry & Neurology | 356 Veterans Memorial Highway, Suite 6, Commack, NY 11725 | 2007-01-26 |
| 1942386495 | Annamma Jose | Psychiatry & Neurology | 8 Jill Dr, Commack, NY 11725-1787 | 2006-10-27 |
| 1649532797 | Northshore Child Psychiatry PC | Psychiatry & Neurology | 6277 Jericho Tpke, Commack, NY 11725-2837 | 2012-06-14 |
| 1508059056 | Marsha Alexander | Psychiatry & Neurology | 356 Veterans Memorial Hwy, Suite Number 6, Commack, NY 11725-4343 | 2007-08-18 |
| 1013007715 | Asra F Siddiqi | Psychiatry & Neurology | 6277 Jericho Turnpike, Commack, NY 11725 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
| 1023632015 | Child and Adult Clinical Psychiatry PC | Psychiatry & Neurology | 75 Prospect St Ste 110, Huntington, NY 11743-3320 | 2020-06-04 |
| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
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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.