DR. SHALINI GUPTA M.D.
NPI 1912294042
Obstetrics & Gynecology in Hackensack, NJ

Q: What is Shalini Gupta's NPI number?

The NPI number for Shalini Gupta is 1912294042. It was assigned to this individual provider in the NPPES registry on July 10, 2011.

Q: What is Shalini Gupta's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shalini Gupta was last updated on July 10, 2011. 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.

Active since July 10, 2011PECOS EnrolledAccepts Medicare Assignment

73.27/100

CMS Quality Rating

30 PROSPECT AVE, 4E-90, HACKENSACK, NJ 07601(201) 996-2755 Get Directions Write a Review

NPPES record last updated: July 10, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Shalini Gupta M.d. NPPES

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

DR. SHALINI GUPTA M.D. (NPI 1912294042) is an individual obstetrics & gynecology provider in Hackensack, New Jersey, licensed in New Jersey (25MA08964200) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1912294042

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SHALINI GUPTACredential: M.D.

Location Address30 PROSPECT AVE, 4E-90Hackensack, NJ 07601-1914

Mailing Address11 Daphne CtEdison, NJ 08820-4105 · (908) 279-7894

Phone(201) 996-2755

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 10, 2011

✔ NPI 1912294042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NJ · 25MA08964200

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

30 PROSPECT AVE, Hackensack, NJ 07601

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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. Shalini 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 ID1557531696

PECOS Enrollment IDI20110830000081

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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

73.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

44.89

Promoting Interoperability

Improvement Activities

Cost

47.69

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)