Individual provider Active NPI

Bhavinkumar B Gajera, M.D.

  • Psychiatry Physician
  • Hoboken, NJ
National Provider Identifier
1205063005
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09381500 Issued in NJ
Practice address
79 Hudson St
Suite 203
Hoboken, NJ 07030-5638
Phone
(201) 222-8808
Fax
(201) 222-8803
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09381500 NJ Primary

Addresses

Primary practice location

79 Hudson St
Suite 203
Hoboken, NJ 07030-5638

Mailing address

79 Hudson St
Suite 203
Hoboken, NJ 07030-5638
Phone (201) 222-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09381500NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Psychiatric Associates, LLC Psychiatry Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1205063005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST",
            "address_2": "SUITE 203",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305638",
            "telephone_number": "201-222-8808",
            "fax_number": "201-222-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST",
            "address_2": "SUITE 203",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305638",
            "telephone_number": "201-222-8808",
            "fax_number": "201-222-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJERA",
        "first_name": "BHAVINKUMAR",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09381500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.