Individual provider Active NPI

Ashish K Bhattacharya, MD

  • Specialist
  • Freehold, NJ
National Provider Identifier
1467427807
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA057831 Issued in NJ
Practice address
55 Schanck Rd
Ste-A4
Freehold, NJ 07728-2964
Phone
(732) 683-1033
Fax
(732) 683-2477
NPI assigned
Feb 21, 2006
Last updated
Jun 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA057831 NJ Primary

Addresses

Primary practice location

55 Schanck Rd
Ste-A4
Freehold, NJ 07728-2964

Mailing address

55 Schanck Rd
Ste-A4
Freehold, NJ 07728-2964
Phone (732) 683-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031125000764 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9537063094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Rutgers New Jersey Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

55 -77 Schanck Rd
Suite a 4
Freehold, NJ 07728-2963

55 Schanck Rd
Freehold, NJ 07728-2963

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA057831NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A.K. Bhattacharya,MD,LLC Specialist CurrentSince Sep 3, 1997 Accepting new patients
Health Fusion Wellness LLC PastSince Oct 13, 2014 Accepting new patients

Locations

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

55 Schanck Rd
Ste A-4
Freehold, NJ 07728
Phone (732) 665-6334

Interoperability endpoints

  • Direct secure messaging: abhattacharya424995@direct.ahsys.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1467427807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SCHANCK RD",
            "address_2": "STE-A4",
            "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": "STE-A4",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282964",
            "telephone_number": "732-683-1033",
            "fax_number": "732-683-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTACHARYA",
        "first_name": "ASHISH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA057831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.