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SHAWN GUPTA MD
NPI 1922629096
Internal Medicine in Newark, NJ

Active since April 30, 2020PECOS EnrolledAccepts Medicare Assignment
111 CENTRAL AVE, NEWARK, NJ 07102(973) 877-5000 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Shawn Gupta Md NPPES

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

SHAWN GUPTA MD (NPI 1922629096) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (25MA11872400) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and maintains a secondary practice location in Hammonton.

NPPES Registry Identity

NPI1922629096
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAWN GUPTACredential: MD
Location Address111 CENTRAL AVENewark, NJ 07102-1909
Mailing Address1200 Frank E Rodgers Blvd S Apt 3105Harrison, NJ 07029-2454 · (609) 668-8340
Phone(973) 877-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2020
Last NPPES UpdateNovember 22, 2024
NPPES CertifiedNovember 22, 2024
✔ NPI 1922629096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11872400
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 CENTRAL AVE, Newark, NJ 07102
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Secondary Practice Location 1

Location 175 S White Horse PikeHammonton, NJ 08037-1872 · Phone (856) 325-3200

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

Shawn Gupta Md 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 ID9335593284
PECOS Enrollment IDI20230926001729, I20250422001393
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

RAKAN BASSAM AMMARI MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
PAUL V SCOTT CRNA
Registered Nurse
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5043
DR. HOI-WING SUSANNA YIM M.D.
Internal Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KING EMERGENCY ASSOCIATES, P.A.
Emergency Medicine
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
DR. NITA MODI MD
Specialist
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
GATEWAY EMERGENCY SERVICES PC
Emergency Medicine
111 CENTRAL AVE, EMERGENCY DEPARTMENT
NEWARK, NJ 07102
Essex County (469) 401-2386
DR. CHRYSTINA MILDRED KIWAN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (973) 877-5000
KHALED MOHAMMAD KHALED BANI YASEEN MD
Student in an Organized Health Care Education/Training Program
111 CENTRAL AVE
NEWARK, NJ 07102
Essex County (551) 250-3743

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 Shawn Gupta's NPI number?

The NPI number for Shawn Gupta is 1922629096. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Shawn Gupta located?

Shawn Gupta practices at 111 Central Ave, Newark, NJ 07102. The listed phone number is (973) 877-5000.

What is Shawn Gupta's specialty?

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

Is Shawn Gupta enrolled in Medicare?

Yes. Shawn 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 Shawn Gupta affiliated with any hospitals?

According to CMS data, Shawn Gupta is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Shawn Gupta was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.