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ANJU GUPTA-MODAK MD
NPI 1891780276
Pediatrics - Neonatal-Perinatal Medicine in Brooklyn, NY

Active since September 13, 2005PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8853(718) 635-7235 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anju Gupta-modak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANJU GUPTA-MODAK MD (NPI 1891780276) is an individual neonatal-perinatal medicine provider in Brooklyn, New York, licensed in New York (225285) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891780276
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameANJU GUPTA-MODAKCredential: MD
Location Address4802 10TH AVEBrooklyn, NY 11219-2844
Mailing Address977 48th StBrooklyn, NY 11219-2919 · (718) 283-8015 · Fax (718) 635-7235
Phone(718) 283-8853
Fax(718) 635-7235
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1891780276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 225285
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
4802 10TH AVE, Brooklyn, NY 11219
Open in Google Maps ↗

Other Identifiers 10

Other26N9651NY · Neighborhood Health
Other2603107NY · Ghi
Other001131-A15NY · Health First
Other4C4442NY · Health Net
OtherGA5285NY · Atlantis Health Plan
OtherP2068431NY · Oxford Health Plans
Other001131NY · Hip
Medicaid02109608NY
Other0B7762NY · Empire Bcbs
Other1000030331NY · Affinity Health Plan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anju Gupta-modak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Anju Gupta-modak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Faculty Practice Plan
Same address
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700
Mmc Pediatrics Faculty Practice
1.9 mi
Pediatrics
6010 BAY PKWY STE 902
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group
NPI 1285648154 (718) 283-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anju Gupta-modak's NPI number?

The NPI number for Anju Gupta-modak is 1891780276. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Anju Gupta-modak located?

Anju Gupta-modak practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8853.

What is Anju Gupta-modak's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Anju Gupta-modak enrolled in Medicare?

Yes. Anju Gupta-modak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anju Gupta-modak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anju Gupta-modak reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Mmc Pediatrics Faculty Practice (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anju Gupta-modak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anju Gupta-modak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.