Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Moulik Gupta

Individual provider Hospitalist Physician · NPI 1144752684

Dr. Moulik Gupta is a Family Practice in Bay Shore, New York. Qualified in 2017, 9 years ago. Practices with Southwest Suffolk Medical PC, a 200-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (347) 781-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 311921-01 (NY)

Record details

NPI number1144752684
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 3, 2017
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address517 Elwood Rd, East Northport, NY 11731-4805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southwest Suffolk Medical Pc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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