Divya Sambandan Bhatnagar, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25MA09936400 Issued in NJ

Practice address

719 N Beers St
Suite 2G
Holmdel, NJ 07733-1522

Phone

(732) 739-3223

NPI assigned

May 30, 2012

Last updated

Jul 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Divya Ramalakshmi Sambandan Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Specialty

Dermatology

Education

Columbia University College of Physicians and Surgeons, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cosmetic and Dermatologic Surgery Associates LLCGroup PAC ID 3971781402, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cosmetic and Dermatologic Surgery Associates LLC

  • MOHS-Micrographic Surgery Physician
  • Holmdel, NJ
  • NPI 1427355825
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1134480791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RIVERSIDE LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BEERS ST",
            "address_2": "SUITE 2G",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331522",
            "telephone_number": "732-739-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATNAGAR",
        "first_name": "DIVYA",
        "middle_name": "SAMBANDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09936400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVYA",
            "last_name": "SAMBANDAN",
            "middle_name": "RAMALAKSHMI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Bennett
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• Ashley Berman, LSW
• Steven James Berner, MD, MPH, MBA
• Andrea Beyer, M.S. ED., CCC-SLP
• Pradip Bhattacharjee, M.D.
• Biebel & Decotiis Associates, LLC
• Mark Anthony Biebel, DPM
• Sandra Birkenhauer, RN, CPNP
• Jonathan Kirkland Blauvelt, MA, LCADC

• Dermatology Physician in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.

Verify at the official NPI Registry.