NAMITA JAIN GUPTA M.D.
NPI 1255591905
Pathology - Anatomic Pathology & Clinical Pathology in Red Bank, NJ

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
1 RIVERVIEW PLZ, RED BANK, NJ 07701(732) 528-1142 Get Directions Write a Review

NPPES record last updated: September 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Namita Jain Gupta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAMITA JAIN GUPTA M.D. (NPI 1255591905) is an individual anatomic pathology & clinical pathology provider in Red Bank, New Jersey, licensed in Massachusetts (234950) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1255591905
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameNAMITA JAIN GUPTACredential: M.D.
Location Address1 RIVERVIEW PLZRed Bank, NJ 07701-1864
Mailing Address1 Riverview PlzRed Bank, NJ 07701-1864 · (732) 530-2347
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 16, 2008
Last NPPES UpdateSeptember 17, 2010
NPI 1255591905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MA · 234950
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1 RIVERVIEW PLZ, Red Bank, NJ 07701

Other Identifiers 2

Medicare PIN172679NS3NJ
Medicare PINP00817218NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Namita Jain Gupta M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234273459
PECOS Enrollment IDI20100226000812
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
969 services284 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
582 services338 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
456 services169 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
221 services57 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
202 services131 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
180 services89 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Nurse Practitioner (Family)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Pathology (Anatomic Pathology & Clinical Pathology)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Anesthesiology
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Anesthesiology (Pain Medicine)
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Emergency Medicine
1 RIVERVIEW PLZ
RED BANK, NJ 07701
General Acute Care Hospital
1 RIVERVIEW PLZ
RED BANK, NJ 07701
Family Medicine
1 RIVERVIEW PLZ
RED BANK, NJ 07701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Namita Gupta's NPI number?

The NPI number for Namita Gupta is 1255591905. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Namita Gupta located?

Namita Gupta practices at 1 Riverview Plz, Red Bank, NJ 07701. The listed phone number is (732) 528-1142.

What is Namita Gupta's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Namita Gupta enrolled in Medicare?

Yes. Namita Gupta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Namita Gupta affiliated with any hospitals?

According to CMS data, Namita Gupta is affiliated with Riverview Medical Center, Ocean Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Namita Gupta was last updated on September 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.