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

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: October 18, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Shalini Gupta reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
140 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 50 clinicians in this Medicare group
General Acute Care Hospital
201 LYONS AVE
Newark, NJ 07112
  • Reassigned Medicare billing, New Jersey enrollment
  • 79 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Psychiatry
675 HOES LN W
Piscataway, NJ 08854
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
123 CHURCH ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 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.

Where is Shalini Gupta located?

Shalini Gupta practices at 30 Prospect Ave 4e-90, Hackensack, NJ 07601. The listed phone number is (201) 996-2755.

What is Shalini Gupta's specialty?

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

Is Shalini Gupta enrolled in Medicare?

Yes. Shalini 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.

Which organizations bill Medicare for Shalini Gupta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shalini Gupta reassigns Medicare benefits to 7 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Newark Beth Israel Medical Center Inc (Newark, NJ), Rwjbh Observation Associates LLC (Livingston, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shalini Gupta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shalini Gupta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Shalini 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 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.