Borawala LLC
Organization Active NPI Specialty Pharmacy · Sayreville, NJ
NPI 1497288666 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1497288666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialty Pharmacy 3336S0011X
- License
- 28RS00755200 (NJ)
- Legal business name
- BORAWALA LLC
- Practice address
- 881 Main St
Unit 4
Sayreville, NJ 08872-1456 - Phone
- (732) 475-3311
- Fax
- (732) 475-3322
- NPI assigned
- Apr 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Anup Borawala
- Title
- Owner
- Phone
- (732) 735-2691
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180413001727 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 8426311978 | Practice locations: Sayreville, NJ |
National Provider Directory
Locations
881 Main St
Ste 4
Sayreville, NJ 08872
Phone (732) 475-3311
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Specialty Pharmacy | 3336S0011X | 28RS00755200 | NJ | Yes |
Addresses
Primary practice location
881 Main St
Unit 4
Sayreville, NJ 08872-1456
Mailing address
881 Main St
Unit 4
Sayreville, NJ 08872-1456
Phone (732) 475-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0614696 | Medicaid | NJ | |
| 2168654 | Other | PK |
Other names
- Main Street Specialty Pharmacy
Other providers in Sayreville, NJ
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All providers in Sayreville, NJ · Specialty Pharmacy in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.