Active NPI
Heal Doctors PC
- Multi-Specialty Clinic/Center
- Elizabeth, NJ
National Provider Identifier
1053960211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- HEAL DOCTORS PC
- Practice address
- 162 Elmora Avenue
Suite 304
Elizabeth, NJ 07202-1148 - Phone
- (844) 644-4325
- Fax
- (424) 625-0010
- NPI assigned
- Sep 10, 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
- Rekha Bhandari, MD
- Title
- Cmo
- Phone
- (212) 734-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
162 Elmora Avenue
Suite 304
Elizabeth, NJ 07202-1148
Mailing address
250 Skillman St Ste 204
Brooklyn, NY 11205-1218
Phone (718) 534-0689
Other names 1
- Dua Medical NJ P.C.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715040000000",
"number": "1053960211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 SKILLMAN ST STE 204",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112051218",
"telephone_number": "718-534-0689",
"fax_number": "424-625-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 ELMORA AVENUE",
"address_2": "SUITE 304",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072021148",
"telephone_number": "844-644-4325",
"fax_number": "424-625-0010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAL DOCTORS PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-10",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A",
"authorized_official_last_name": "BHANDARI",
"authorized_official_first_name": "REKHA",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "212-734-6621",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dua Medical NJ P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.