Active NPI
Abdel Rahman Sayed Bakhaty, MD
- Pain Medicine (Anesthesiology) Physician
- Jersey City, NJ
National Provider Identifier
1386783686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- MA 042237
- Practice address
- 3200 Kennedy Boulevard
Jersey City, NJ 07306-3416 - Phone
- (201) 217-6822
- Fax
- (201) 217-6899
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | MA 042237 | NJ | Primary |
Addresses
Primary practice location
3200 Kennedy Boulevard
Jersey City, NJ 07306-3416
Mailing address
PO Box 3485
Secauncus, NJ 07094
Phone (201) 217-6822
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J018597 | Other | NJ | TRICARE |
| P2751747 | Other | NJ | OXFORD |
| 0724807 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 042237 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijkg Opco LLC | Current | Accepting new patients |
Interoperability endpoints
- abdel.bakhaty@direct.bayonnemedicalcenter.md
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.
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386783686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3485",
"city": "SECAUNCUS",
"state": "NJ",
"postal_code": "07094",
"telephone_number": "201-217-6822",
"fax_number": "201-217-6899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 KENNEDY BOULEVARD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073063416",
"telephone_number": "201-217-6822",
"fax_number": "201-217-6899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKHATY",
"first_name": "ABDEL RAHMAN",
"middle_name": "SAYED",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "MA 042237",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "J018597",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2751747",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0724807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.