Individual provider Active NPI

Anuj Bhardwaj, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1063687812
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
248366 Issued in NY
Practice address
1500 Astor Ave
Montefiore Medical Group-2ND Floor
Bronx, NY 10469-5900
Phone
(718) 881-0100
Fax
(718) 881-7752
NPI assigned
Apr 23, 2008
Last updated
Feb 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 248366 NY Primary

Addresses

Primary practice location

1500 Astor Ave
Montefiore Medical Group-2ND Floor
Bronx, NY 10469-5900

Mailing address

1500 Astor Ave
Montefiore Medical Group-2ND Floor
Bronx, NY 10469-5900
Phone (718) 881-0100

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
I20110823000120 NY Practitioner - Pediatric Medicine 5698945004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC Past Accepting new patients
Kingsbrook Medical Associates PC Past Accepting new patients

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1063687812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASTOR AVE",
            "address_2": "MONTEFIORE MEDICAL GROUP-2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695900",
            "telephone_number": "718-881-0100",
            "fax_number": "718-881-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ASTOR AVE",
            "address_2": "MONTEFIORE MEDICAL GROUP-2ND FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695900",
            "telephone_number": "718-881-0100",
            "fax_number": "718-881-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "ANUJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "248366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.