Active NPI
Sugata Bhattacharjee, AUD
- Audiologist-Hearing Aid Fitter
- Derry, NH
National Provider Identifier
1114171840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A555
- Practice address
- 61 Lawrence Rd
Derry, NH 03038-4190 - Phone
- (703) 380-2867
- NPI assigned
- Nov 7, 2008
- Last updated
- Jun 3, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SP891AU | MA | |
| Audiologist-Hearing Aid Fitter | 237600000X | A555 | NH | Primary |
Addresses
Primary practice location
61 Lawrence Rd
Derry, NH 03038-4190
Mailing address
61 Lawrence Rd
Derry, NH 03038-4190
Phone (703) 380-2867
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A559 | Other | NH | STATE LICENSE |
| SP891AU | Other | MA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
28 Crescent St
Middletown, CT 06457-3650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP891AU | MA | MD | Audiologist |
| A555 | NH | MD | Audiologist-Hearing Aid Fitter |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Middletown, CT
- NPI 1336279058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1114171840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 LAWRENCE RD",
"city": "DERRY",
"state": "NH",
"postal_code": "030384190",
"telephone_number": "703-380-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 LAWRENCE RD",
"city": "DERRY",
"state": "NH",
"postal_code": "030384190",
"telephone_number": "703-380-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATTACHARJEE",
"first_name": "SUGATA",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "SP891AU",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NH",
"license": "A555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A559",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SP891AU",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.