DR. SANJAY KUMAR GUPTA (NPI# 1376628800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376628800 |
| Entity Type | Individual |
| Full Name | DR. SANJAY KUMAR GUPTA |
| Credential | M.D. |
| Practice Address |
18 Squadron Blvd New City NY 10956-5210 |
| Practice Telephone | 8456349729 |
| Mailing Telephone | 8456349729 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
227969 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02529528 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740238906 | Sanjay Gupta | Psychiatry & Neurology | 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225-4985 | 2006-05-04 |
| 1043298870 | Sanjay K Gupta | Otolaryngology | 6500 29th Street, Suite 106, Greeley, CO 80634-8386 | 2006-01-03 |
| 1134116601 | Sanjay Gupta | Internal Medicine | 114 Brady Cir E, Steubenville, OH 43952-1469 | 2005-09-30 |
| 1235327255 | Sanjay K Gupta | Orthotist | 8540 Reseda Blvd, Northridge, CA 91324-4628 | 2007-10-04 |
| 1942308127 | Sanjay Gupta | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-09-20 |
| 1760499529 | Sanjay Gupta | Neurological Surgery | 49 Jesse Hill Jr Dr Se, Faculty Office Building #337, Atlanta, GA 30303-3049 | 2006-08-02 |
| 1801803523 | Sanjay Gupta | Surgery | 12 High St, Ste 401, Lewiston, ME 04240-7676 | 2006-08-02 |
| 1215963038 | Sanjay Gupta | Anesthesiology | 2 Bala Plz, Pl# 50, Bala Cynwyd, PA 19004-1501 | 2006-06-23 |
| 1851344295 | Sanjay Gupta | Internal Medicine | 1481 W 10th St, Medicine 111, Indianapolis, IN 46202-2803 | 2006-05-18 |
| 1538117999 | Sanjay Kumar Gupta | Orthopaedic Surgery | 60 Old New Milford Rd, Suite 3g, Brookfield, CT 06804 | 2006-05-05 |
| Street Address |
18 SQUADRON BLVD |
| City | NEW CITY |
| State | NY |
| Zip Code | 10956-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118474 | Kenneth Ira Blumberg | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2005-10-19 |
| 1962765628 | David Ginsburg | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2012-06-18 |
| 1700013364 | Daria Elizabeth Setlik | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2009-06-22 |
| 1508023938 | Ilana Estere Moche | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2008-05-22 |
| 1508062167 | Jignesh M Modi | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2007-06-21 |
| 1376609115 | Dale Robin Kozinn | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-12-28 |
| 1144321365 | Reena Wagner | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-09-26 |
| 1043259823 | Karen L Garfield | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-06-06 |
| 1174574115 | Hudson Valley Radiology Associates Pllc | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-05-15 |
| 1477502433 | Jane Wai Chan | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659703 | Shadae Keilia Kleckley | Technician | 19 Dixwell Road, New City, NY 10956 | 2019-10-03 |
| 1326518911 | Jenna Marie Rogoff | Occupational Therapy Assistant | 254 S Main Street Suite 400, New City, NY 10956 | 2018-11-27 |
| 1326515065 | Dynamic Dental Arts of Rockland Pllc | Dentist | 345 North Main St. Ste. 5, New City, NY 10956 | 2018-10-31 |
| 1760981062 | Alyssa Rothschild Taxin | Nutritionist | 18 Snowdrop Drive, New City, NY 10956 | 2018-02-02 |
| 1245738103 | Martin A Petersel | Counselor | 3 Rexal Court, New City, NY 10956 | 2018-01-25 |
| 1831601475 | Carissa Aurellano | Occupational Therapist | 873 Rte 45 Ste 102, New City, NY 10956 | 2017-11-03 |
| 1376064055 | Evelyn Ringel | Specialist | 14 Concord Drive, New City, New City, NY 10956 | 2017-07-03 |
| 1720517089 | Orlee Elizabeth Krass | Specialist | 2, Woodland Road, New City, NY 10956 | 2017-06-08 |
| 1639617293 | Ann Damiani Orlando | Registered Nurse | 32 Twin Elms Lane, New City, NY 10956 | 2017-02-03 |
| 1225496300 | Timber Counseling Corp. | Community/Behavioral Health | 115 North Main Street, New City, NY 10956 | 2016-02-04 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679785505 | Robert D Nekrich | Radiology | 40 Woodhaven Dr, New City, NY 10956-4437 | 2007-05-04 |
| 1134118474 | Kenneth Ira Blumberg | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2005-10-19 |
| 1700013364 | Daria Elizabeth Setlik | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2009-06-22 |
| 1508023938 | Ilana Estere Moche | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2008-05-22 |
| 1376609115 | Dale Robin Kozinn | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-12-28 |
| 1144321365 | Reena Wagner | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-09-26 |
| 1043259823 | Karen L Garfield | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-06-06 |
| 1174574115 | Hudson Valley Radiology Associates Pllc | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-05-15 |
| 1477502433 | Jane Wai Chan | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2006-05-08 |
| 1093796971 | Louis M Eisen | Radiology | 18 Squadron Blvd, New City, NY 10956-5210 | 2005-11-08 |
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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.