ANJALI GUPTA (NPI# 1063695971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063695971 |
| Entity Type | Individual |
| Full Name | ANJALI GUPTA |
| Credential | M.D. |
| Practice Address |
17 E 102nd St New York NY 10029-5204 |
| Mailing Address |
1 Gustave L Levy Pl Box 3000 New York NY 10029-6504 |
| Practice Telephone | 2126598551 |
| Practice Fax Number | 2128242317 |
| Mailing Telephone | 2129873100 |
| Mailing Fax Number | 2127315210 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 207510 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 25MA07665900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE INDIVIDUAL NUM | 095125UPA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284390 | Anjali Gupta | Physical Therapist | 6621 Fannin St # Mcb21329, Houston, TX 77030-2358 | 2018-11-15 |
| 1982145074 | Anjali Gupta | Obstetrics & Gynecology | 351 Hospital Rd Ste 316, Newport Beach, CA 92663-3505 | 2017-03-09 |
| 1760414122 | Anjali Gupta | Psychiatry & Neurology | 1320 S Bay St, Eustis, FL 32726-5551 | 2006-07-07 |
| 1578959482 | Anjali Gupta | Hospitalist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-04-08 |
| 1386038826 | Anjali Gupta | Student in an Organized Health Care Education/Training Program | 282 Washington St, Hartford, CT 06106-3322 | 2015-03-23 |
| 1720301427 | Anjali Gupta | Optometrist | 35 South St, New Providence, NJ 07974-1940 | 2010-03-09 |
| 1104074715 | Anjali Gupta | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 102, Roseburg, OR 97471-1516 | 2008-09-08 |
| 1881852853 | Anjali Gupta | Family Medicine | 937 N Spring Garden Ave, Deland, FL 32720-2560 | 2008-05-27 |
| 1922265123 | Anjali Gupta | Internal Medicine | 712 S Cascade St, Fergus Falls, MN 56537-2913 | 2008-05-16 |
| 1699966556 | Anjali L Gupta | Internal Medicine | 1309 N Elm St, Greensboro, NC 27401-1005 | 2007-08-06 |
| Street Address |
17 E 102ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134127988 | Mary Beth Fishman | Internal Medicine | 17 E 102nd St, New York, NY 10029-5204 | 2005-07-14 |
| 1104438563 | Patrick Ryan Parsell | Nurse Practitioner | 17 E 102nd St, New York, NY 10029-5204 | 2020-08-18 |
| 1922626050 | Menatalla Mekhaimar | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-07-06 |
| 1548886039 | Aviv Alter | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-06-19 |
| 1093337370 | Brandon Needelman | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-05-10 |
| 1821618414 | Sarah Elizabeth Nussbaum | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-23 |
| 1285253518 | Alyson Leigh Harty | Nurse Practitioner | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-16 |
| 1760001101 | Divya Iyer | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-15 |
| 1801415617 | Edward William Cytryn | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-11 |
| 1194344366 | Aarti Pappu Rao | Student in an Organized Health Care Education/Training Program | 17 E 102nd St, New York, NY 10029-5204 | 2020-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| 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 |
|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| 1558971929 | New Jersey Birdie Health PC | Internal Medicine | 330 E 38th St Apt 15c, New York, NY 10016-2769 | 2020-07-31 |
| 1972112456 | Daniel William Fitzgerald | Internal Medicine | 402 E 67th St Fl 2, New York, NY 10065-6304 | 2020-07-30 |
| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
| 1891319810 | Careathome Medical Practice, PC | Internal Medicine | 287 Park Ave S Fl 3, New York, NY 10010-4573 | 2020-06-05 |
| 1487276473 | Alinea Medical Associates PC | Internal Medicine | 205 E 69th St Apt 1b, New York, NY 10021-5437 | 2020-05-12 |
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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.