Organization Active NPI

Pranay Bhatt MD LLC

  • Internal Medicine Physician
  • Bloomfield, NJ
National Provider Identifier
1174704522
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07717300 Issued in NJ
Legal business name
PRANAY BHATT MD LLC
Practice address
350 Bloomfield Ave Ste 4
Bloomfield, NJ 07003-4852
Phone
(973) 748-9330
Fax
(973) 748-6985
NPI assigned
Nov 14, 2007
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Dr. Pranay Bhatt, M.D.NPI 1952381287
Title
MD
Phone
(201) 892-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA07717300 NJ Primary

Addresses

Primary practice location

350 Bloomfield Ave Ste 4
Bloomfield, NJ 07003-4852

Mailing address

350 Bloomfield Ave Ste 4
Bloomfield, NJ 07003-4852
Phone (973) 748-9330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000121 NJ Part B Supplier - Clinic/Group Practice 7618056631 Receives reassigned benefits from 7 practitioners
Practice locations: Union, NJ; Jersey City, NJ; Fairfield, NJ; Bloomfield, NJ

National Provider Directory

National Provider Directory

Locations

350 Bloomfield Ave
#4
Bloomfield, NJ 07003
Phone (973) 748-9330

2300 Vauxhall Rd
#C
Union, NJ 07083
Phone (908) 688-4424

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1174704522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "973-748-9330",
            "fax_number": "973-748-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOOMFIELD AVE STE 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034852",
            "telephone_number": "973-748-9330",
            "fax_number": "973-748-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANAY BHATT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "PRANAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-892-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07717300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.