Organization Active NPI

A.K. Bhattacharya,MD,LLC

  • Specialist
  • Freehold, NJ
National Provider Identifier
1295160026
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA057831 Issued in NJ
Legal business name
A.K. BHATTACHARYA,MD,LLC
Practice address
55 Schanck Rd
A-4
Freehold, NJ 07728-2964
Phone
(732) 683-1033
Fax
(732) 683-2477
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
A K Bhattacharya, MD
Title
Owner
Phone
(732) 683-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA057831 NJ Primary

Addresses

Primary practice location

55 Schanck Rd
A-4
Freehold, NJ 07728-2964

Mailing address

55 Schanck Rd
A-4
Freehold, NJ 07728-2964
Phone (732) 683-1033

Other identifiers 1

IdentifierTypeStateIssuer
1467427807OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000074 NJ Part B Supplier - Clinic/Group Practice 1759525066 Receives reassigned benefits from 1 practitioner
Practice locations: Freehold, NJ

National Provider Directory

National Provider Directory

Locations

55 Schanck Rd
#4
Freehold, NJ 07728
Phone (732) 683-1033

Practitioners & affiliated clinicians

Practitioners 2

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": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1295160026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD",
            "address_2": "A-4",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-683-1033",
            "fax_number": "732-683-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD",
            "address_2": "A-4",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-683-1033",
            "fax_number": "732-683-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.K. BHATTACHARYA,MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "BHATTACHARYA",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-683-1033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA057831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467427807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.