Individual provider Active NPI

Anupama Adlakha, M.D.

  • Internal Medicine Physician
  • South Orange, NJ
National Provider Identifier
1649301474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA07842800 Issued in NJ
Practice address
707 S Orange Ave
South Orange, NJ 07079-2698
Phone
(973) 761-6111
Fax
(973) 761-4990
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA07842800 NJ Primary

Addresses

Primary practice location

707 S Orange Ave
South Orange, NJ 07079-2698

Mailing address

707 S Orange Ave
South Orange, NJ 07079-2698
Phone (973) 761-6111

Other identifiers 1

IdentifierTypeStateIssuer
0070653MedicaidNJ

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
I20050525000605 NJ Practitioner - Internal Medicine 2769424209 Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA07842800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Barbier, D.O., LLC Internal Medicine PastSince Jan 1, 2010 Accepting new patients
Anupama Adlakha MD LLC Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Vital Medical Forces of Dover PC Internal Medicine Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649301474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S ORANGE AVE",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792698",
            "telephone_number": "973-761-6111",
            "fax_number": "973-761-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLAKHA",
        "first_name": "ANUPAMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA07842800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070653",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Orange, NJ

Sources for this page

Verify at the official NPI Registry.