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MR. SANJEEV GUPTA MD
NPI 1558360693
Pediatrics in Massena, NY

Active since July 20, 2005CLIA 33D1005939 · Waiver
31 HOSPITAL DR, MASSENA, NY 13662(315) 769-1099(315) 769-1077 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Sanjeev Gupta Md NPPES

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

MR. SANJEEV GUPTA MD (NPI 1558360693) is an individual pediatrics provider in Massena, New York, licensed in New York (210511) and active in the NPI registry since July 2005. He holds a CLIA Waiver certificate valid through November 3, 2026.

NPPES Registry Identity

NPI1558360693
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. SANJEEV GUPTACredential: MD
Location Address31 HOSPITAL DRMassena, NY 13662
Mailing Address31 Hospital DrMassena, NY 13662 · (315) 769-1099 · Fax (315) 769-1077
Phone(315) 769-1099
Fax(315) 769-1077
Sole ProprietorNo
Enumeration DateJuly 20, 2005
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1558360693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 210511
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 210511 (NY)
31 HOSPITAL DR, Massena, NY 13662
Open in Google Maps ↗

Other Identifiers 1

Medicaid01647974NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1005939

Sanjeev Gupta MD Mukta Gupta MD · Massena, NY
Active · expires Nov 3, 2026
CLIA Number33D1005939
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorMukta Gupta
Laboratory Phone(315) 769-1099
Laboratory LocationSanjeev Gupta MD Mukta Gupta MD31 Hospital Drive, Massena, NY 13662
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

TRISTON RILEY PA-C
Physician Assistant
31 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-1099
SANJEEV AND MUKTA GUPTA
Clinic/Center (Multi-Specialty)
31 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-1099
MRS. CASSANDRA LYNN LASHOMB PHYSICIAN ASSISTANT
Physician Assistant
31 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-1099
MRS. MUKTA GUPTA MD
Internal Medicine
31 HOSPITAL DR
MASSENA, NY 13662
St. Lawrence County (315) 769-1099

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 Sanjeev Gupta's NPI number?

The NPI number for Sanjeev Gupta is 1558360693. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Sanjeev Gupta located?

Sanjeev Gupta practices at 31 Hospital Dr, Massena, NY 13662. The listed phone number is (315) 769-1099.

What is Sanjeev Gupta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Sanjeev Gupta hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1005939) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sanjeev Gupta was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.