Organization Active NPI

Pujan Gastroenterologist, PLLC

  • Gastroenterology Physician
  • Bronx, NY
National Provider Identifier
1013959386
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
219532 Issued in NY
Legal business name
PUJAN GASTROENTEROLOGIST, PLLC
Practice address
1650 Grand Concourse
Division of Gastroenterology, 3Rd Floor
Bronx, NY 10457-7606
Phone
(718) 518-5550
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bhavna N Balar, M.D.
Title
President
Phone
(201) 568-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 219532 NY Primary

Addresses

Primary practice location

1650 Grand Concourse
Division of Gastroenterology, 3Rd Floor
Bronx, NY 10457-7606

Mailing address

161 Truman Dr
Cresskill, NJ 07626-1709
Phone (201) 568-1243

Other identifiers 1

IdentifierTypeStateIssuer
02459781MedicaidNY

National Provider Directory

National Provider Directory

Locations

502 E Tremont Ave
Bronx, NY 10457
Phone (646) 762-6905

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013959386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 TRUMAN DR",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076261709",
            "telephone_number": "201-568-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "address_2": "DIVISION OF GASTROENTEROLOGY, 3RD FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "718-518-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUJAN GASTROENTEROLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALAR",
        "authorized_official_first_name": "BHAVNA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-568-1243",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "219532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02459781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.