Individual provider Active NPI

Bhawna Jha, MD

  • Neurology Physician
  • East Syracuse, NY
National Provider Identifier
1154536886
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
329137 Issued in NY
Practice address
6620 Fly Road
Suite 305
East Syracuse, NY 13057
Phone
(315) 464-3938
Fax
(315) 464-5359
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 25MA10250300 NJ
Interventional Pain Medicine Physician 208VP0014X 01091680A IN
Neurology Physician 2084N0400X 329137 NY Primary
Interventional Pain Medicine Physician 208VP0014X 329137 NY
Interventional Pain Medicine Physician 208VP0014X MD429223 PA
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 329137 NY

Addresses

Primary practice location

6620 Fly Road
Suite 305
East Syracuse, NY 13057

Mailing address

251 Salina Meadows Parkway
Suite 100
Syracuse, NY 13212
Phone (315) 464-2000

Other practice location 1

3401 Brandywine Pkwy Ste 101
Wilmington, DE 19803-1554
Phone (302) 655-9494

Other practice location 2

2007 N Black Horse Pike
Williamstown, NJ 08094-9120
Phone (856) 740-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250717004064 NY Practitioner - NeurologyPractitioner - Pain Management 6901064765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Medical Service Group LLPGroup PAC ID 7214928035, 39 clinicians

Practice addresses (Care Compare)

6620 Fly Rd
East Syracuse, NY 13057-9791
Phone (315) 464-1849

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329137NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Medical Service Group, LLP Neurology CurrentSince Jun 2, 2025 Accepting new patients
Professional Pain Management Assoc Past Accepting new patients

Locations

6620 Fly Rd
Ste 305
East Syracuse, NY 13057
Phone (315) 464-3938

6620 Fly Rd
East Syracuse, NY 13057
Phone (315) 464-1849

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: bjha169058@direct.upstate.edu

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1154536886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PARKWAY",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13212",
            "telephone_number": "315-464-2000",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FLY ROAD",
            "address_2": "SUITE 305",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-464-3938",
            "fax_number": "315-464-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Brandywine Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198031554",
            "country_code": "US",
            "telephone_number": "302-655-9494",
            "fax_number": "302-691-1478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 N Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "NJ",
            "postal_code": "080949120",
            "country_code": "US",
            "telephone_number": "856-740-4888",
            "fax_number": "856-740-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHA",
        "first_name": "BHAWNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-07-30",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA10250300",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IN",
            "license": "01091680A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "329137",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "329137",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD429223",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NY",
            "license": "329137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.