Active NPI
Sushma Bhasin
- Pediatric Adolescent Medicine Physician
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- SUSHMA BHASIN
- Practice address
- 331 Oak Manor Dr Ste 203
Glen Burnie, MD 21061-5555 - Phone
- (410) 768-0700
- Fax
- (410) 768-1143
- NPI assigned
- Apr 5, 2019
- Last updated
- Jun 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sushma Bhasin, MD
- Title
- Doctor
- Phone
- (410) 768-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | NU | Primary |
Addresses
Primary practice location
331 Oak Manor Dr Ste 203
Glen Burnie, MD 21061-5555
Mailing address
331 Oak Manor Dr Ste 203
Glen Burnie, MD 21061-5555
Phone (410) 768-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083661219 | Medicaid | MD |
National Provider Directory
National Provider Directory- Tax ID family
- Sushma Bhasin
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Sushma Bhasin MD
- Pediatric Adolescent Medicine Physician
- Glen Burnie, MD
- NPI 1912701137
Locations
331 Oak Manor Dr
Ste 203
Glen Burnie, MD 21061
Phone (410) 760-3111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Adolescent Medicine Physician
- Glen Burnie, MD
- NPI 1083661219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1023570132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 OAK MANOR DR STE 203",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615555",
"telephone_number": "410-768-0700",
"fax_number": "410-768-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 OAK MANOR DR STE 203",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615555",
"telephone_number": "410-768-0700",
"fax_number": "410-768-1143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSHMA BHASIN",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "BHASIN",
"authorized_official_first_name": "SUSHMA",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "410-768-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083661219",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.