Organization Active NPI

Ashok J Bharucha MD PC

  • Psychiatry Physician
  • State College, PA
National Provider Identifier
1174913347
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD070573L Issued in PA
Legal business name
ASHOK J BHARUCHA MD PC
Practice address
119 S Burrowes St
Suie 602
State College, PA 16801-3894
Phone
(608) 797-8287
Fax
(814) 690-2151
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Ashok J Bharucha
Title
MD
Phone
(608) 797-8287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD070573L PA Primary

Addresses

Primary practice location

119 S Burrowes St
Suie 602
State College, PA 16801-3894

Mailing address

603 Kreamer Ave
Lewisburg, PA 17837-6858
Phone (608) 797-8287

Other identifiers 1

IdentifierTypeStateIssuer
813550001OtherILMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

119 S Burrowes St
Ste 602
State College, PA 16801
Phone (608) 797-8287

119 S Burrowes St
Ste 606
State College, PA 16801
Phone (608) 797-8287

Practitioners & affiliated clinicians

Practitioners 4

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": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1174913347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 KREAMER AVE",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376858",
            "telephone_number": "608-797-8287",
            "fax_number": "814-690-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BURROWES ST",
            "address_2": "SUIE 602",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013894",
            "telephone_number": "608-797-8287",
            "fax_number": "814-690-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHOK J BHARUCHA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "BHARUCHA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "608-797-8287",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD070573L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "813550001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.