Provider Demographics
NPI:1811935307
Name:NEHRA, ANUPAMA (MD)
Entity type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:
Last Name:NEHRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N GASTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2434
Mailing Address - Country:US
Mailing Address - Phone:908-707-1617
Mailing Address - Fax:908-707-1615
Practice Address - Street 1:205 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2785
Practice Address - Country:US
Practice Address - Phone:973-972-6257
Practice Address - Fax:973-972-2384
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07745400207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0080691Medicaid
NJI12779Medicare UPIN
NJ081734Medicare PIN