Healthcare Provider Details

I. General information

NPI: 1609454727
Provider Name (Legal Business Name): ANUJ BAPODRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 COMMERCE AVE
UNION NJ
07083-5025
US

IV. Provider business mailing address

1057 COMMERCE AVE
UNION NJ
07083-5025
US

V. Phone/Fax

Practice location:
  • Phone: 866-467-1770
  • Fax:
Mailing address:
  • Phone: 866-467-1770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA13060900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA13060900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: