Provider Demographics
NPI:1437259751
Name:KAPOOR, ANIL (MD)
Entity Type:Individual
Prefix:MR
First Name:ANIL
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SKYLINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456
Mailing Address - Country:US
Mailing Address - Phone:973-962-6661
Mailing Address - Fax:973-962-1958
Practice Address - Street 1:60 SKYLINE DRIVE
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456
Practice Address - Country:US
Practice Address - Phone:973-962-6661
Practice Address - Fax:973-962-1958
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA47149207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1837105Medicaid
C56465Medicare UPIN
NJ483970Medicare PIN