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

Dr. Sanjeev Mohan Gupta, MD

Individual provider Pediatric Cardiology Physician · NPI 1083024947

Dr. Sanjeev Mohan Gupta, MD is a Pediatric Medicine in New York, New York. Qualified in 2014, 12 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
12
Licensed in
NJ, NY, PA
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

622 W 168th St Ph 17
New York, NY 10032-3720
Phone: (212) 305-8509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 290922 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence MD481815 (PA)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence 25MA10853900 (NJ)
Pediatric Cardiology Physician Taxonomy 2080P0202X · Licence MD481815 (PA)

Record details

NPI number1083024947
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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