NPIMap

Individual provider Active NPI

Ryan Bhagwandin, DO

  • Internal Medicine Physician
  • Piscataway, NJ
National Provider Identifier
1164870242
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB10672100 Issued in NJ
Practice address
250 Stelton Rd Ste 4
Piscataway, NJ 08854-3285
Phone
(732) 855-9006
NPI assigned
May 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 25MB10672100 NJ
Hospitalist Physician 208M00000X OS020251 PA
Internal Medicine Physician 207R00000X 25MB10672100 NJ Primary

Addresses

Primary practice location

250 Stelton Rd Ste 4
Piscataway, NJ 08854-3285

Mailing address

1515 22ND Ave N
St Petersburg, FL 33704-3113
Phone (727) 322-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202000956 NJ Practitioner - Internal Medicine 0840623039 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Medical ProfessionalsGroup PAC ID 3173054210, 2 clinicians
Hospitalist Physicians of New Jersey PAGroup PAC ID 3476859927, 162 clinicians
NJ Acute Care Specialists Professional CorporationGroup PAC ID 3678742269, 55 clinicians

Practice addresses (Care Compare)

250 Stelton Rd
Suite 4
Piscataway, NJ 08854-3285
Phone (732) 885-9006

727 N Beers St
Holmdel, NJ 07733-1514
Phone (732) 739-5900

901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10672100NJMDHospitalist Physician
OS020251PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Feb 17, 2024 Accepting new patients
Elite Medical Professionals Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

250 Stelton Rd
Ste 4
Piscataway, NJ 08854
Phone (732) 855-9006

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

Organizations & group practices 4

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 6

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": "1464566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1164870242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 22ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043113",
            "telephone_number": "727-322-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STELTON RD STE 4",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543285",
            "telephone_number": "732-855-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAGWANDIN",
        "first_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MB10672100",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS020251",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10672100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

Verify at the official NPI Registry.