Active NPI
Anup Hazra
- Anatomic Pathology & Clinical Pathology Physician
- Berkeley Heights, NJ
National Provider Identifier
1285709311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MA52791
- Practice address
- 1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 273-4300
- Fax
- (908) 277-8756
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MA52791 | NJ | Primary |
Addresses
Primary practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Mailing address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
Phone (732) 212-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7093608 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA52791 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1285709311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DIAMOND HILL RD",
"city": "BERKELEY HEIGHTS",
"state": "NJ",
"postal_code": "079222104",
"telephone_number": "908-273-4300",
"fax_number": "908-277-8756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZRA",
"first_name": "ANUP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "MA52791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7093608",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkeley Heights, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.