Individual provider Active NPI

Pradip Bhattacharjee, M.D.

  • Dermatopathology (Pathology) Physician
  • Holmdel, NJ
National Provider Identifier
1124351747
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
25MA08646700 Issued in NJ
Practice address
65 Rancho Mirage CT
Holmdel, NJ 07733-2555
Phone
(330) 219-4361
NPI assigned
Sep 14, 2009
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morgan Dermatology 10 clinicians
Atlantic Dermatologic Associates, LLP 10 clinicians

Practice addresses (Care Compare)

3405 State Route 33
FL 2
Neptune, NJ 07753-3442
Phone (732) 508-9390

444 Merrick Rd
Suite LL2
Lynbrook, NY 11563-2400
Phone (516) 599-4242

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.87

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100208000679 NJ Practitioner - DermatologyPractitioner - Pathology 7214983253 Reassigns benefits to 5 organizations
I20100715000999 NY Practitioner - PathologyPractitioner - Dermatology 7214983253 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301085118MIMDAnatomic Pathology Physician
25MA08646700NJMDAnatomic Pathology Physician
35.092241OHMDAnatomic Pathology Physician

Practice roles (15 of 16)

OrganizationSpecialtyStatusNew patients
Belaray Dermatology PC CurrentSince Jul 1, 2022 Accepting new patients
Bodian Dermatology Group, P.C CurrentSince May 1, 2013 Accepting new patients
Clearsolutions Dermatology Group New Jersey CurrentSince Feb 10, 2024 Accepting new patients
Morgan Dermatology CurrentSince Nov 1, 2019 Accepting new patients
Patricia C McCormack MD PC CurrentSince Feb 10, 2015 Accepting new patients
Premier Dermatology Clinic LLC CurrentSince Apr 1, 2023 Accepting new patients
Dermatology and Skin Surgery Center, Professional Association CurrentSince Nov 9, 2011 Accepting new patients
Atlantic Dermatologic Associates, LLP CurrentSince Jul 1, 2012 Accepting new patients
Atlantic Dermatologic Associates, LLP Past Accepting new patients
Pradip Bhattacharjee, M.D. PC Dermatopathology Past Accepting new patients
Bodian Medical Services of Forest Hills PC Past Accepting new patients
Clark Dermatology, LLC PastSince May 11, 2025 Accepting new patients
Harold Mermelstein, M.D., P.C. Past Accepting new patients
Schweiger Dermatology, PC PastSince Apr 2, 2012 Accepting new patients
Advanced Ears Nose and Throat LLC Past Accepting new patients

Locations

205 Ridgedale Ave
Ste 4
Florham Park, NJ 07932
Phone (973) 301-9500

515 N Wood Ave
Linden, NJ 07036
Phone (908) 241-2030

3405 State Route 33
#2
Neptune, NJ 07753
Phone (732) 508-9390

1806 State Route 35
Ste 105
Oakhurst, NJ 07755
Phone (732) 414-2005

3 Plaza Dr
Ste 17
Toms River, NJ 08757
Phone (732) 341-3535

2270 Kimball St
Ste 201
Brooklyn, NY 11234
Phone (718) 253-4550

11 Grace Ave
Ste 100
Great Neck, NY 11021
Phone (516) 482-2882

358 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 488-7546

266 Merrick Rd
Ste 201
Lynbrook, NY 11563
Phone (516) 599-4242

444 Merrick Rd
Ste LL2
Lynbrook, NY 11563
Phone (516) 599-4242

1550 Richmond Ave
Ste 207
Staten Island, NY 10314
Phone (718) 698-1616

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHGJBA

Specialties & licenses 6

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 4301085118 MI
Dermatopathology (Pathology) Physician 207ZD0900X 35.092241 OH
Anatomic Pathology Physician 207ZP0101X 25MA08646700 NJ
Anatomic Pathology Physician 207ZP0101X 4301085118 MI
Anatomic Pathology Physician 207ZP0101X 35.092241 OH
Dermatopathology (Pathology) Physician 207ZD0900X 25MA08646700 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

65 Rancho Mirage CT
Holmdel, NJ 07733-2555

Mailing address

7 Jewel CT
Marlboro, NJ 07746-2059
Phone (732) 856-4022

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2019.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1124351747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JEWEL CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462059",
            "telephone_number": "732-856-4022",
            "fax_number": "732-856-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RANCHO MIRAGE CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332555",
            "telephone_number": "330-219-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTACHARJEE",
        "first_name": "PRADIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MI",
            "license": "4301085118",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OH",
            "license": "35.092241",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NJ",
            "license": "25MA08646700",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MI",
            "license": "4301085118",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "35.092241",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NJ",
            "license": "25MA08646700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.