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DR. SURAJ GUPTA M.D. FACP
NPI 1770518425
Internal Medicine in Toms River, NJ

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
3 PLAZA DR, SUITE 4, TOMS RIVER, NJ 08757(732) 718-7755(732) 240-5007 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Suraj Gupta M.d. Facp NPPES

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

DR. SURAJ GUPTA M.D. FACP (NPI 1770518425) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (057749) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1964).

NPPES Registry Identity

NPI1770518425
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SURAJ GUPTACredential: M.D. FACP
Location Address3 PLAZA DR, SUITE 4Toms River, NJ 08757-3759
Mailing Address3 Plaza Dr, Suite 4Toms River, NJ 08757-3759 · (732) 718-7755 · Fax (732) 240-5007
Phone(732) 718-7755
Fax(732) 240-5007
Sole ProprietorYes
Medical School CMSOtherGraduated 1964
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1770518425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 057749
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3 PLAZA DR, Toms River, NJ 08757
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Suraj Gupta M.d. Facp 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 ID2365477460
PECOS Enrollment IDI20050928000021
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08757 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
71%276 patients3/55-star benchmark: 100%
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.

MR. JOHN P SERSANTI MD
Family Medicine
3 PLAZA DR, STE 10
TOMS RIVER, NJ 08757
Ocean County (732) 797-0477
DR. TEJAS P. DELIWALA NEUROLOGICAL CARE CENTER PA
Psychiatry & Neurology (Neurology)
3 PLAZA DR, SUITE 13
TOMS RIVER, NJ 08757
Ocean County (732) 240-9222
DR. EMAD KAMEL M.D.
Internal Medicine (Pulmonary Disease)
3 PLAZA DR, SUITE 2
TOMS RIVER, NJ 08757
Ocean County (732) 341-1380
SUNANDA KRISHNA, M.D., LLC
Internal Medicine
3 PLAZA DR, SUITE 14
TOMS RIVER, NJ 08757
Ocean County (732) 240-0303
PATRICK JOSEPH ALCASID M.D.
Internal Medicine (Pulmonary Disease)
3 PLAZA DR, SUITE 2
TOMS RIVER, NJ 08757
Ocean County (732) 341-1380
DR. SUNANDA KRISHNA M.D.
Internal Medicine
3 PLAZA DR, SUITE 14
TOMS RIVER, NJ 08757
Ocean County (732) 240-0303
MR. ELMER SONZA SADIANG-ABAY RN., MSN, APRN-BC
Nurse Practitioner (Adult Health)
3 PLAZA DR, SUITE 3
TOMS RIVER, NJ 08757
Ocean County (732) 240-4000
DR. ANIL KUMAR SHARMA M.D.
Internal Medicine
3 PLAZA DR, SUITE 4
TOMS RIVER, NJ 08757
Ocean County (732) 473-0025

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 Suraj Gupta's NPI number?

The NPI number for Suraj Gupta is 1770518425. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Suraj Gupta located?

Suraj Gupta practices at 3 Plaza Dr Suite 4, Toms River, NJ 08757. The listed phone number is (732) 718-7755.

What is Suraj Gupta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suraj Gupta enrolled in Medicare?

Yes. Suraj 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.

What insurance does Suraj Gupta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Suraj Gupta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suraj Gupta was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.