Mini Gupta (NPI# 1528117389, PAC ID# 8325000409) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528117389 |
| PAC ID by PECOS | 8325000409 |
| Professional Enrollment ID | I20051104000608 |
| Full Name | Mini Gupta |
| Organization Legal Name | LOURDES MEDICAL ASSOCIATES PA |
| Address |
200 Campbell Dr Suite 102 Willingboro NJ 08046-1067 |
| Phone Number | 6098774545 |
| Gender | F |
| Credential | MD |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557260122 |
| Number of Group Practice Members | 129 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310029 | OUR LADY OF LOURDES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 216 Haddon Ave, Suite 100, Haddon Township, NJ 08108-2810 | 8564297512 | LOURDES MEDICAL ASSOCIATES PA |
| 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 | 6098774545 | LOURDES MEDICAL ASSOCIATES PA |
| Organization Legal Name | LOURDES MEDICAL ASSOCIATES PA |
| Physicians | 139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alysha E Theosmy | Physician Assistant | Lourdes Medical Associates Pa | 2103 Burlington Mount Holly Rd, Burlington, NJ 08016-4157 |
| Harsha Sharma | Obstetrics/gynecology | Lourdes Medical Associates Pa | 1055 Haddon Ave, Collingswood, NJ 08108-2047 |
| Ajoa O Amankwaah | Family Medicine | Lourdes Medical Associates Pa | 728 Marne Hwy, Moorestown, NJ 08057-3128 |
| Malini Iyer | Surgical Oncology | Lourdes Medical Associates Pa | 1 Brace Rd, Suite B, Cherry Hill, NJ 08034-2600 |
| Jacquelynn Ann White | Nurse Practitioner | Lourdes Medical Associates Pa | 101 Burrs Rd, Suite C, Westampton, NJ 08060-5517 |
| Michael Meltzer | Family Medicine | Lourdes Medical Associates Pa | 310 Creek Crossing Blvd, Hainesport, NJ 08036-2767 |
| Allen C Zechowy | Neurology | Lourdes Medical Associates Pa | 63 Kresson Rd, Suite 101, Cherry Hill, NJ 08034-3200 |
| Anthony D Dibona Jr. | Family Medicine | Lourdes Medical Associates Pa | 302 Hurffville Crosskeys Rd, Suite A1, Sewell, NJ 08080-9206 |
| Glenn Robert Mclintock | Internal Medicine | Lourdes Medical Associates Pa | 216 Haddon Ave, Suite 100, Haddon Township, NJ 08108-2810 |
| Michael Jeffrey Partnow | Neurology | Lourdes Medical Associates Pa | 500 Grove St, Suite 100, Haddon Heights, NJ 08035-1761 |
| Street Address |
200 CAMPBELL DR SUITE 102 |
| City | WILLINGBORO |
| State | NJ |
| Zip | 08046-1067 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Gardiner | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| Candace L Bromley | Physician Assistant | Lourdes Medical Associates Pa | 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 |
| Adriana L Davis | Family Medicine | Lourdes Medical Associates Pa | 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 |
| Richa Shah | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| James A Shimp | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| Jasmine K Bajaj | Family Medicine | Lourdes Medical Associates Pa | 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 |
| Richard Tucker | Obstetrics/gynecology | Regional Womens Health Group LLC | 200 Campbell Dr, Suite 101, Willingboro, NJ 08046-1067 |
| Anthony J Vendetti | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| Karen E Hemmes | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| Kimberly Anne Baubles | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Odette M Cohen Martin | Pediatric Medicine | 2 D E Ridge Plaza, Willingboro, NJ 08046 | |
| Ashley V Weinmann | Nurse Practitioner | 4390 Route 130, Suite A, Willingboro, NJ 08046-1065 | |
| Laura Digioia | Physical Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Suite 107, Willingboro, NJ 08046-1067 |
| Minhaz Karim | Internal Medicine | Lourdes Medical Associates Pa | 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 |
| Kenneth H Chen | Obstetrics/gynecology | Regional Womens Health Group LLC | 200 Campbell Dr, Suite 101, Willingboro, NJ 08046-1067 |
| Marvin A Weinar | Family Practice | Lourdes Medical Associates Pa | 200 Campbell Dr, Suite 102, Willingboro, NJ 08046-1067 |
| Christopher Saporito | Occupational Therapy | Ivyrehab Network Inc | 200 Campbell Dr, Willingboro, NJ 08046-1067 |
| Kimberly A Newhook | Physician Assistant | Warren S Kurnick M D Dermatology Group P A | 215 Sunset Rd, Suite 102, Willingboro, NJ 08046-1108 |
| Warren S Kurnick | Dermatology | Warren S Kurnick M D Dermatology Group P A | 215 Sunset Rd, Suite 102, Willingboro, NJ 08046-1108 |
| Nick Maravich | Diagnostic Radiology | Larchmont Imaging Associates LLC | 219 Sunset Rd, Willingboro, NJ 08046-1109 |
| Find all physicians in zip 08046 | |||
| City | WILLINGBORO |
| Zip Code | 08046 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WILLINGBORO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mini Gupta.
| 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.