Individual provider Active NPI

Bhavana R Japi, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1023034295
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
219891 Issued in NY
Practice address
3440 Fulton St
Brooklyn, NY 11208-1716
Phone
(718) 235-0222
Fax
(718) 235-1811
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 219891 NY Primary

Addresses

Primary practice location

3440 Fulton St
Brooklyn, NY 11208-1716

Mailing address

4 Dallas Ave
New Hyde Park, NY 11040-3913
Phone (516) 437-5356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040311001235 NY Practitioner - Internal Medicine 1052200706 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3440 Fulton St
Brooklyn, NY 11208-1716
Phone (347) 512-1836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
219891NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Dental Care of Nyc PC Past Accepting new patients
Bhavana R. Japi Physician P.C. Past Accepting new patients
Tonuca Basu Physicians PC Internal Medicine PastSince May 22, 2011 Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBBA/Endpoint/CEIBBA

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1023034295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DALLAS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403913",
            "telephone_number": "516-437-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081716",
            "telephone_number": "718-235-0222",
            "fax_number": "718-235-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAPI",
        "first_name": "BHAVANA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "219891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.