# NICKHIL GUPTA DO PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497378467
- **Authorized official:** NICKHIL GUPTA MD (OWNER)
- **Authorized official phone:** (800) 750-8616

## Contact information

- **Practice address:** 37 W CENTURY RD STE 106, PARAMUS, NJ 07652-1466
- **Practice address phone:** (800) 750-8616
- **Practice address fax:** (845) 362-8474
- **Mailing address:** 26 FIREMENS MEMORIAL DR STE 115, POMONA, NY 10970-3569
- **Mailing address phone:** (845) 362-8400
- **Mailing address fax:** (845) 362-8474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2020
- **Last updated:** 05/25/2020