Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: 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.

Q: 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 33 days 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.

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: August 09, 2026.

On this page

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 33 days 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.