Individual
DR. NICKHIL GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 STELTON RD STE 3, PISCATAWAY, NJ 08854-3285
(732) 752-3355
Mailing address
520 E 20TH ST, APT #2D, NEW YORK, NY 10009-8311
(732) 259-2813
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB0902260
NJ
208100000X
Physical Medicine & Rehabilitation Physician
263627
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MB09022600
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
263627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
784955
GROUP MEDICARE NUMBER JERSEY REHAB PA 1629005012
NJ
Enumeration date
07/26/2007
Last updated
09/16/2013
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