Gautam Gupta (NPI# 1356728869, PAC ID# 8921359654) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356728869 |
| PAC ID by PECOS | 8921359654 |
| Professional Enrollment ID | I20181004002186 |
| Full Name | Gautam Gupta |
| Organization Legal Name | INHOSPITAL PHYSICIANS CORP OF NEW JERSEY, PC |
| Address |
350 Boulevard Passaic NJ 07055-2840 |
| Phone Number | 9733654300 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2264781780 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310006 | ST MARY'S GENERAL HOSPITAL |
| 310050 | SAINT CLARE'S HOSPITAL/ DENVILLE CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 350 Boulevard, Passaic, NJ 07055-2840 | 9733654300 | INHOSPITAL PHYSICIANS CORP OF NEW JERSEY, PC |
| Organization Legal Name | INHOSPITAL PHYSICIANS CORP OF NEW JERSEY, PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean M Kelly | Internal Medicine | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Sivakoti Nagrieddy Guda | Internal Medicine | Inhospital Physicians Corp of New Jersey, PC | 902 Jacksonville Rd, Burlington, NJ 08016-3858 |
| Sandra A Uzzalino | Nurse Practitioner | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Jiyoung Wong | Internal Medicine | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Mary S Kisswany | Internal Medicine | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Bela Laschiver | Nurse Practitioner | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Catherine A Losse | Nurse Practitioner | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Baljit Kaur | Internal Medicine | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Triveni Abburi | Hospitalist | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Marie F Pierre | Nurse Practitioner | Inhospital Physicians Corp of New Jersey, PC | 902 Jacksonville Rd, Burlington, NJ 08016-3858 |
| Street Address |
350 BOULEVARD |
| City | PASSAIC |
| State | NJ |
| Zip | 07055-2840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean M Kelly | Internal Medicine | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Ghassan M Chehade | Cardiovascular Disease (cardiology) | Ghcp Ekg Interpretation Panel, LLC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Sandra A Uzzalino | Nurse Practitioner | Inhospital Physicians Corp of New Jersey, PC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Ghassan G Bassil | Pathology | Mario Gonzalez, Md | 350 Boulevard, Passaic, NJ 07055-2840 |
| Robert M Bazzini | Orthopedic Surgery | Advanced Perioperative Medicine, P.a. | 350 Boulevard, Passaic, NJ 07055-2840 |
| Christopher Kizina | Pain Management | Advanced Perioperative Medicine, P.a. | 350 Boulevard, Passaic, NJ 07055-2840 |
| John G Cubero | Cardiovascular Disease (cardiology) | Ghcp Ekg Interpretation Panel, LLC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Barbara B. Haralson | Emergency Medicine | Emergency Associates of St Marys LLC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Frank Gingerelli | Diagnostic Radiology | Prime Healthcare Services- St Mary's Passaic LLC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Anthony I Okafor | Emergency Medicine | Emergency Associates of St Marys LLC | 350 Boulevard, Passaic, NJ 07055-2840 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaakov Siegel | Psychologist, Clinical | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Kelly B Hargadon | Psychologist, Clinical | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Sherri S Tucker | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Kristin Ann Motta | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Sherri C Goldstein | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Amanda Romeo | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Elizabeth C Miller | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Heather Miller | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Daria Malinchak Mcphee | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Sarah C. Hiller | Clinical Social Worker | Senior Care Therapy LLC | 85 Crescent Ave, Passaic, NJ 07055-2437 |
| Find all physicians in zip 07055 | |||
| City | PASSAIC |
| Zip Code | 07055 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PASSAIC + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.