Organization Active NPI

BMB Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Staten Island, NY
National Provider Identifier
1124289236
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
200246 Issued in NY
Legal business name
BMB MEDICAL PC
Practice address
456 Arlene St
Staten Island, NY 10314-3814
Phone
(201) 694-6052
Fax
(908) 769-1555
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Mihir J Bhatt, M.D.
Title
President
Phone
(201) 694-6052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 200246 NY Primary

Addresses

Primary practice location

456 Arlene St
Staten Island, NY 10314-3814

Mailing address

22 Lyle PL
Edison, NJ 08820-4433
Phone (201) 694-6052

National Provider Directory

National Provider Directory

Locations

277 Burnside Ave
Lawrence, NY 11559
Phone (201) 694-6052

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1124289236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LYLE PL",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204433",
            "telephone_number": "201-694-6052",
            "fax_number": "908-769-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 ARLENE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143814",
            "telephone_number": "201-694-6052",
            "fax_number": "908-769-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMB MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "MIHIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-694-6052",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "200246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.