Physician Compare National (NPI:1750866869)

HEALTHCARE PROVIDER: ANJULI BODAPATI PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750866869
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274871173
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20191226000202
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BODAPATI
	Individual professional last name
Provider First Name	ANJULI
	Individual professional first name
Provider Middle Name	SINGH
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	608 SHERWOOD PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2D
	Group Practice or individual's line 2 address
City	MOUNTAINSIDE
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070922512
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9089130462
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y