MEDICARE: ANJALI P GUPTE RD,MSCDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	003372	NY

General Provider Information

NPI Number	:	1841353851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANJALI P GUPTE RD,MSCDN

Provider Business Mailing Address
First Line	:	30 SCHINDLER CT
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-2361
Country	:	US
Telephone Number	:	914-906-7285
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 CROSFIELD AVE STE 312
Second Line	:
City	:	WEST NYACK
State	:	NY
Zip	:	10994-2220
Country	:	US
Telephone Number	:	914-906-1285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	04/03/2026

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