Individual provider Active NPI

Vatsala R Bhaskar, M.D., F.A.A.P.

  • Pediatric Adolescent Medicine Physician
  • Freehold, NJ
National Provider Identifier
1306884879
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MA069868 Issued in NJ
Practice address
57 Schanck Rd
Suite C14 C15
Freehold, NJ 07728-3072
Phone
(732) 431-9202
Fax
(732) 431-9205
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MA069868 NJ Primary

Addresses

Primary practice location

57 Schanck Rd
Suite C14 C15
Freehold, NJ 07728-3072

Mailing address

57 Schanck Rd
Suite C14 C15
Freehold, NJ 07728-3072
Phone (732) 431-9202

Other identifiers 1

IdentifierTypeStateIssuer
8104204MedicaidNJ

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
MA069868NJMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGAGCA/Endpoint/JGAGCA
  • Direct secure messaging: vbhaskar424994@direct.ahsys.org

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1306884879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SCHANCK RD",
            "address_2": "SUITE C14 C15",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283072",
            "telephone_number": "732-431-9202",
            "fax_number": "732-431-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 SCHANCK RD",
            "address_2": "SUITE C14 C15",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077283072",
            "telephone_number": "732-431-9202",
            "fax_number": "732-431-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "VATSALA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "MA069868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8104204",
            "state": "NJ"
        }
    ],
    "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 Apr 25, 2019; 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.