Sonal Bordia

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

25MA08928200 Issued in NJ

Practice address

2130 Millburn Ave
Maplewood, NJ 07040-3725

Phone

(201) 936-6032

NPI assigned

Nov 14, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Sonal Gupta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346421781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WASHINGTON BLVD APT 6544",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073101907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MILLBURN AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403725",
            "telephone_number": "201-936-6032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Newark Ave Ste 307",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073061353",
            "country_code": "US",
            "telephone_number": "201-936-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDIA",
        "first_name": "SONAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "260433",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA08928200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONAL",
            "last_name": "GUPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susannah Bochner, FNP
• Allison Bonanno, MS NUTRITION
• Julia Boneberg
• Laura Christine Booker, LCSW
• Jessica Boram Charkow
• Jaclyn Borrone, M.A.
• Bowman and Brown Consulting, L.L.C
• Octavia Bradley, BA
• Sally Beth Bregman, O.D.
• Bridging Inclusive Connections, LLC

• Hematology & Oncology Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Hematology & Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.