Individual provider Active NPI

Abhishek Amar Bavle, M.D

  • Pediatric Hematology & Oncology Physician
  • Belle Mead, NJ
National Provider Identifier
1083929269
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
S6129 Issued in TX
Practice address
3 Aspen CT
Belle Mead, NJ 08502-5728
Phone
(502) 905-0916
NPI assigned
Aug 12, 2010
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
417892301MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028001450 NJ Order and Referring Only - Pediatric MedicinePractitioner - 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

Verify at the official NPI Registry.