Dr Sanjeev Mohan Gupta, MD - Medicare Pediatrics in Hackensack, NJ

Dr Sanjeev Mohan Gupta, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Hackensack, New Jersey. His current practice location is 155 Polifly Rd Ste 106, Hackensack, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 441-9980.

Dr Sanjeev Mohan Gupta is licensed to practice in New Jersey (license number 25MA10853900) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083024947.

Contact Information

Dr Sanjeev Mohan Gupta, MD
155 Polifly Rd Ste 106,
Hackensack, NJ 07601-1749
(201) 441-9980
Not Available

Map and Direction




Physician's Profile

Full NameDr Sanjeev Mohan Gupta
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location155 Polifly Rd Ste 106, Hackensack, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083024947
  • Provider Enumeration Date: 04/30/2014
  • Last Update Date: 07/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092050815
  • Enrollment ID: I20231214003527

Medical Identifiers

Medical identifiers for Dr Sanjeev Mohan Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083024947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 25MA10853900 (New Jersey)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sanjeev Mohan Gupta allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sanjeev Mohan Gupta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sanjeev Mohan Gupta, MD
155 Polifly Rd Ste 106,
Hackensack, NJ 07601-1749

Ph: (201) 441-9980
Dr Sanjeev Mohan Gupta, MD
155 Polifly Rd Ste 106,
Hackensack, NJ 07601-1749

Ph: (201) 441-9980

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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