Healthcare Provider Details

I. General information

NPI: 1396712139
Provider Name (Legal Business Name): ANUJ KUMAR CHOPRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 ELLINWOOD DR
NEW HARTFORD NY
13413-1102
US

IV. Provider business mailing address

100 METROPOLITAN PARK DR STE 100
LIVERPOOL NY
13088-7112
US

V. Phone/Fax

Practice location:
  • Phone: 315-724-1012
  • Fax: 315-724-5219
Mailing address:
  • Phone: 315-870-9369
  • Fax: 315-870-9364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD073746L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number213635
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: