| Dr Kanika Gupta, MD | |
|
1505 W Sherman Ave, Vineland, NJ 08360 | |
| (856) 845-1000 | |
| Not Available |
| Full Name | Dr Kanika Gupta |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1505 W Sherman Ave, Vineland, 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 |
|---|---|---|---|
| 1821475898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 25MA10392800 (New Jersey) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Advocare , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
| Entity Name | Nemours New Jersey Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265874713 PECOS PAC ID: 4486871159 Enrollment ID: O20140805000413 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kanika Gupta, MD 1011 Chestnut St Unit 203w, Philadelphia, PA 19107-1422 Ph: () - | Dr Kanika Gupta, MD 1505 W Sherman Ave, Vineland, NJ 08360 Ph: (856) 845-1000 |
Desrene Jascinth Cross, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 256-641-8000 | |
Shannon Hope Harrington, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 | |
Natallia Breibart, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 | |
Naeem M Amin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1138 E Chestnut Ave Ste 8a, Vineland, NJ 08360 Phone: 856-837-4570 Fax: 856-839-4562 | |
Hima Bodagala, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-845-0100 Fax: 302-651-4945 |