Active NPI
Bhavana R Japi, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1023034295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 219891
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 219891 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEIBBA
- 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.
-
- Primary Care Clinic/Center
- Brooklyn, NY
- NPI 1184880874
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013206853
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1609930239
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.