Active NPI
Pradip Bhattacharjee, M.D.
- Dermatopathology (Pathology) Physician
- Holmdel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 25MA08646700
- 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.
-
- Medical Specialty Clinic/Center
- Neptune, NJ
- NPI 1457613309
-
- Specialist
- Lynbrook, NY
- NPI 1447264387
-
- Dermatology Physician
- Manchester Township, NJ
- NPI 1831977024
-
- Procedural Dermatology Physician
- Florham Park, NJ
- NPI 1811129141
-
- Dermatology Physician
- Point Pleasant Beach, NJ
- NPI 1700184884
-
- Dermatology Physician
- Toms River, NJ
- NPI 1598354995
-
- Dermatology Physician
- Hicksville, NY
- NPI 1225237886
-
- Specialist
- Great Neck, NY
- NPI 1659412104
-
- Dermatopathology (Pathology) Physician
- Holmdel, NJ
- NPI 1891022091
NPD (past) DERMATOPATHOLOGY -
- Dermatology Physician
- Elmer, NJ
- NPI 1104229392
-
- Otolaryngology Physician
- Newark, DE
- NPI 1154445559
-
- Specialist
- Brooklyn, NY
- NPI 1922274182
-
- Specialist
- Forest Hills, NY
- NPI 1043441777
-
- Dermatology Physician
- Staten Island, NY
- NPI 1417316274
-
- Dermatology Physician
- Scarsdale, NY
- NPI 1275720369
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 DermatologyAtlantic Dermatologic Associates, LLP
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.87
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100208000679 | NJ | Practitioner - Dermatology | 7214983253 | Reassigns benefits to 5 organizations |
| I20100715000999 | NY | Practitioner - Pathology | 7214983253 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301085118 | MI | MD | Anatomic Pathology Physician |
| 25MA08646700 | NJ | MD | Anatomic Pathology Physician |
| 35.092241 | OH | MD | Anatomic Pathology Physician |
Practice roles (15 of 16)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belaray Dermatology PC | Current | Accepting new patients | |
| Bodian Dermatology Group, P.C | Current | Accepting new patients | |
| Clearsolutions Dermatology Group New Jersey | Current | Accepting new patients | |
| Morgan Dermatology | Current | Accepting new patients | |
| Patricia C McCormack MD PC | Current | Accepting new patients | |
| Premier Dermatology Clinic LLC | Current | Accepting new patients | |
| Dermatology and Skin Surgery Center, Professional Association | Current | Accepting new patients | |
| Atlantic Dermatologic Associates, LLP | Current | 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 | Past | Accepting new patients | |
| Harold Mermelstein, M.D., P.C. | Past | Accepting new patients | |
| Schweiger Dermatology, PC | Past | 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
- https://fhir4.healow.com/fhir/r4/JHGJBA
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.
- 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.