Mr Sanjeev Gupta, MD is a
Pediatrics physician based in Massena, New York. Mr Sanjeev Gupta is licensed to practice in New York (license number 210511) and his current practice location is 31 Hospital Dr, Massena, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 769-1099.
NPI number for Mr Sanjeev Gupta is 1558360693 and his current mailing address is 31 Hospital Dr, Massena, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558360693.
Physician's Profile
Full Name | Mr Sanjeev Gupta |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 31 Hospital Dr, Massena, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558360693
- Provider Enumeration Date: 07/20/2005
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Mr Sanjeev Gupta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558360693 | NPI | - | NPPES |
01647974 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | 210511 (New York) | Secondary |
208000000X | Pediatrics | 210511 (New York) | Primary |
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. Mr Sanjeev Gupta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Sanjeev Gupta, MD 31 Hospital Dr, Massena, NY 13662 Ph: (315) 769-1099 | Mr Sanjeev Gupta, MD 31 Hospital Dr, Massena, NY 13662 Ph: (315) 769-1099 |
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