Active NPI
Bhupesh Vasisht, M.D.
- Plastic Surgery Physician
- Voorhees, NJ
National Provider Identifier
1114924487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MA71305
- Practice address
- 1307 White Horse Rd
Suite E501
Voorhees, NJ 08043-2176 - Phone
- (856) 784-2639
- Fax
- (856) 784-2659
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MA71305 | NJ | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | MA71305 | NJ |
Addresses
Primary practice location
1307 White Horse Rd
Suite E501
Voorhees, NJ 08043-2176
Mailing address
1307 White Horse Rd
Suite E501
Voorhees, NJ 08043-2176
Phone (856) 784-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA71305 | NJ | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston University Plastic Surgery Associates, Inc. | Plastic Surgery | Past | Accepting new patients |
| Vasisht Plastic and Reconstructive Surgery, PC | Plastic Surgery | Past | Accepting new patients |
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.
-
dba South Shore Plastic Surgery
- Plastic Surgery Physician
- Voorhees, NJ
- NPI 1942496807
-
- Plastic Surgery Physician
- Boston, MA
- NPI 1740228360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1114924487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD",
"address_2": "SUITE E501",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432176",
"telephone_number": "856-784-2639",
"fax_number": "856-784-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD",
"address_2": "SUITE E501",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432176",
"telephone_number": "856-784-2639",
"fax_number": "856-784-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASISHT",
"first_name": "BHUPESH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "MA71305",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "NJ",
"license": "MA71305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.