Active NPI
Nitya Bakshi, MD
- Pediatric Hematology & Oncology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 1.073742
- Practice address
- 1 Park St
New Haven, CT 06504-8901 - Phone
- (203) 785-4081
- Fax
- (203) 737-7635
- NPI assigned
- Mar 18, 2009
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 72257 | GA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 1.073742 | CT | Primary |
Addresses
Primary practice location
1 Park St
New Haven, CT 06504-8901
Mailing address
34 Tumblebrook Rd
Woodbridge, CT 06525-2535
Phone (305) 302-7093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.073742 | CT | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Emory Medical Care Foundation Inc | Pediatric Hematology-Oncology | Current | Accepting new patients |
Locations
35 Park St
New Haven, CT 06519
Phone (203) 200-2100
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1 Park St
North Haven, CT 06504
Phone (203) 785-2701
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- nbakshi135228@choa.gadirect.net
- nbakshi632957@direct.ynhh.org
Organizations & group practices 5
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.
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Pediatric Hematology-Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1174764252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 TUMBLEBROOK RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252535",
"telephone_number": "305-302-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065048901",
"telephone_number": "203-785-4081",
"fax_number": "203-737-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKSHI",
"first_name": "NITYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "GA",
"license": "72257",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "CT",
"license": "1.073742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.