Active NPI
Priyanka Bhardwaj, M.D
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1104434497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 325773
- Practice address
- 1764 Westchester Ave
Bronx, NY 10472-3022 - Phone
- (171) 858-9475
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 325773 | NY | Primary |
Addresses
Primary practice location
1764 Westchester Ave
Bronx, NY 10472-3022
Mailing address
1764 Westchester Ave
Bronx, NY 10472-3022
Phone (171) 858-9475
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Health Plan, Inc. | Current | Accepting new patients | |
| Urban Health Plan, Inc. | Current | Accepting new patients |
Locations
1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222
1764 Westchester Ave
Bronx, NY 10472
Phone (347) 407-7166
1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1265596548
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1386247542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1104434497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1764 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104723022",
"telephone_number": "171-858-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1764 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104723022",
"telephone_number": "171-858-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARDWAJ",
"first_name": "PRIYANKA",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "325773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.