Individual
RITU GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
513R RARITAN AVE, HIGHLAND PARK, NJ 08904-2901
(609) 483-6745
Mailing address
PO BOX 471, THREE BRIDGES, NJ 08887-0471
(609) 483-6745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00412800
NJ
363LF0000X
Family Nurse Practitioner
SP012623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392961
—
NJ
01
—
04088619
AMERIGROUP
NJ
05
—
102788627
—
PA
01
—
276462
MEDICARE PTAN
NJ
01
—
9609987
AETNA
NJ
01
—
P5489666
OXFORD
NJ
Enumeration date
12/12/2012
Last updated
08/18/2020
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