Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558360693 Individual Practitioner Male Practitioner

Dr. Sanjeev Gupta , MD

Pediatrics • Massena, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sanjeev Gupta, MD is a registered healthcare professional specializing in Pediatrics in Massena, NY. Practice services are available at 31 HOSPITAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31 Hospital Dr

Massena, NY 13662

Telephone 3157691099
Fax 3157691077
Associated Practice Facility / Clinic
🏢 Sanjeev And Mukta Gupta Facility NPI 1245253830

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Massena, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Massena, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 210511

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.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License NY 210511

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01647974 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Triston Riley , PA-C

Physician Assistant

NPI 1124959507

Physician Assistant (Certified)

NPI 1689059727

PHYSICIANASSISTANT

Dr. Mukta Gupta , MD

Internal Medicine

NPI 1689673873

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2024

Pediatrics (License #210511 in NY)

NPI Profile Active July 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2014

Registered at 31 HOSPITAL DR, MASSENA, NY 13662 (Tel: 3157691099)

📍
Updated Business Mailing Address July 17, 2014

Registered at 31 HOSPITAL DR, MASSENA, NY 13662 (Tel: 3157691099)

👤
Provider Name / Credentials Updated July 17, 2014

Recorded as SANJEEV GUPTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2014

Pediatrics (License #210511 in NY)

🟢
Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558360693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: September 03, 2024
Sole Proprietor: No

Mailing Address

31 Hospital Dr

Massena, NY 13662

Phone: 3157691099

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.