Active NPI
Abhishek Amar Bavle, M.D
- Pediatric Hematology & Oncology Physician
- Belle Mead, NJ
National Provider Identifier
1083929269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- S6129
- Practice address
- 3 Aspen CT
Belle Mead, NJ 08502-5728 - Phone
- (502) 905-0916
- NPI assigned
- Aug 12, 2010
- Last updated
- Oct 17, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | S6129 | TX | Primary |
Addresses
Primary practice location
3 Aspen CT
Belle Mead, NJ 08502-5728
Mailing address
3 Aspen CT
Belle Mead, NJ 08502-5728
Phone (502) 905-0916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417892301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20241028001450 | NJ | Order and Referring Only - Pediatric Medicine | 4385915768 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1083929269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ASPEN CT",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085025728",
"telephone_number": "502-905-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ASPEN CT",
"city": "BELLE MEAD",
"state": "NJ",
"postal_code": "085025728",
"telephone_number": "502-905-0916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAVLE",
"first_name": "ABHISHEK",
"middle_name": "AMAR",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "TX",
"license": "S6129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417892301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Mead, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.