Active NPI
Anita Bhola Medical, P.C.
- Sleep Medicine (Family Medicine) Physician
- Nyack, NY
National Provider Identifier
1437484342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 182716
- 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.D
- 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.
-
- Sleep Medicine (Family Medicine) Physician
- Nyack, NY
- NPI 1972684397
NY, Sleep Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 182716 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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.