Individual provider Active NPI

Anusha Bapatla, M.D.

  • Hematology & Oncology Physician
  • Fair Lawn, NJ
National Provider Identifier
1346809464
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA12529100 Issued in NJ
Practice address
22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016
Phone
(201) 414-5732
NPI assigned
Jun 12, 2019
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA12529100 NJ
Hematology & Oncology Physician 207RH0003X 25MA12529100 NJ Primary

Addresses

Primary practice location

22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016

Mailing address

22-02 Broadway Ste 301
Fair Lawn, NJ 07410-3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250710003547 NJ Practitioner - Hematology/Oncology 3072842582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Partners of Englewood PCGroup PAC ID 1153572482, 94 clinicians

Practice addresses (Care Compare)

22 -02 Broadway
Suite 301
Fair Lawn, NJ 07410-3016
Phone (201) 414-5732

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12529100NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Medical Associates of Englewood, PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

968 River Rd
Edgewater, NJ 07020
Phone (201) 224-8328

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

661 Main St
Ste 202
Paterson, NJ 07503
Phone (973) 321-9845

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1346809464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22-02 BROADWAY STE 301",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22-02 BROADWAY STE 301",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103016",
            "telephone_number": "201-414-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAPATLA",
        "first_name": "ANUSHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA12529100",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA12529100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.