Individual provider Active NPI

Girija Gopal Bhakey, MD

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1184646754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07273000 Issued in NJ
Practice address
111 James Street
Edison, NJ 08820-3967
Phone
(732) 549-2299
Fax
(732) 549-2262
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07273000 NJ Primary

Addresses

Primary practice location

111 James Street
Edison, NJ 08820-3967

Mailing address

111 James Street
Edison, NJ 08820-3967
Phone (732) 549-2299

Other identifiers 1

IdentifierTypeStateIssuer
0031186MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20101112000343 NJ Practitioner - Internal Medicine 0345435665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Menlo Park Medical Group P.a.Group PAC ID 2769677301, 2 clinicians

Practice addresses (Care Compare)

111 James St
Edison, NJ 08820-3967
Phone (732) 549-2299

Hospital & facility affiliations

  • Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059
  • Gentiva Hospice, Piscataway, NJ, CCN 311545
  • JFK University Medical Center Hospital, Edison, NJ, CCN 310108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07273000NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menlo Park Medical Group P.a. Internal Medicine CurrentSince Apr 2, 2003 Accepting new patients

Locations

111 James St
Edison, NJ 08820
Phone (732) 452-9700

111 James St
Fl 2
Edison, NJ 08820
Phone (732) 991-6882

Organizations & group practices 1

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 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184646754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JAMES STREET",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203967",
            "telephone_number": "732-549-2299",
            "fax_number": "732-549-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JAMES STREET",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203967",
            "telephone_number": "732-549-2299",
            "fax_number": "732-549-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKEY",
        "first_name": "GIRIJA",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07273000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031186",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.