Dr Sanjeev Mohan Gupta, MD | |
155 Polifly Rd Ste 106, Hackensack, NJ 07601-1749 | |
(201) 441-9980 | |
Not Available |
Full Name | Dr Sanjeev Mohan Gupta |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 155 Polifly Rd Ste 106, Hackensack, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083024947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 25MA10853900 (New Jersey) | Primary |
Entity Name | St Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Mailing Address | Practice Location Address |
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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 |
Jennifer Northridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-2237 | |
Joy L Tun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5430 Fax: 551-996-4919 | |
Dr. Phillip I Ayeni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Dr. Malkhazi Mikadze, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Pediatrics Dept, Hackensack, NJ 07601 Phone: 201-996-2000 | |
Rose Ann Reyes Macalintal, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Summit Ave, Hackensack, NJ 07601 Phone: 201-525-0077 | |
Gurpreet Phull, Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 908-251-3250 | |
Shoshana Sophie Rothman Tell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Hackensack, NJ 07601 Phone: 551-996-5329 |