Organization Active NPI

Anita Bhola Medical, P.C.

  • Sleep Medicine (Family Medicine) Physician
  • Nyack, NY
National Provider Identifier
1437484342
Registry record updated May 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
182716 Issued in NY
Legal business name
ANITA BHOLA MEDICAL, P.C.
Practice address
160 N Midland Ave
Nyack Hospital
Nyack, NY 10960-1912
Phone
(845) 348-2209
NPI assigned
Oct 9, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Anita Bhola, M.DNPI 1972684397
Title
President
Phone
(845) 348-2209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091221000199 NY Part B Supplier - Clinic/Group Practice 1254471485 Receives reassigned benefits from 1 practitioner
Practice locations: Chappaqua, NY; Cornwall, NY

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X 182716 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

160 N Midland Ave
Nyack Hospital
Nyack, NY 10960-1912

Mailing address

PO Box 612
Millwood, NY 10546-0612
Phone (845) 348-2209

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2017.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494028800000",
    "number": "1437484342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "MILLWOOD",
            "state": "NY",
            "postal_code": "105460612",
            "telephone_number": "845-348-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "address_2": "NYACK HOSPITAL",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA BHOLA MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2017-05-06",
        "status": "A",
        "authorized_official_last_name": "BHOLA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-348-2209",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NY",
            "license": "182716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2017; 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.