Basic Information
Provider Information
NPI: 1295099448
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUPTA
FirstName: ARPIT
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 240 WILLOUGHBY ST
Address2: APT 16 C
City: BROOKLYN
State: NY
PostalCode: 112015465
CountryCode: US
TelephoneNumber: 7186644392
FaxNumber:  
Practice Location
Address1: 550 1ST AVE
Address2: TISCH ,DEPARTMENT OF PEDIATRICS, NEONATOLOGY UNIT,
City: NEW YORK
State: NY
PostalCode: 100166402
CountryCode: US
TelephoneNumber: 2122637300
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/02/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X050709CTN Allopathic & Osteopathic PhysiciansPediatrics 
2080N0001X277166NYN Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
208M00000X277166NYY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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