Organization Active NPI

Short Hills Behavioral Care, LLC

  • Psychiatry Physician
  • Short Hills, NJ
National Provider Identifier
1487014437
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08137700 Issued in NJ
Legal business name
SHORT HILLS BEHAVIORAL CARE, LLC
Practice address
784 Morris Tpke
Suite 101
Short Hills, NJ 07078-2698
Phone
(917) 582-6622
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Dr. Pankaj Bhandari, M.D.
Title
Medical Director
Phone
(917) 582-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA08137700 NJ Primary

Addresses

Primary practice location

784 Morris Tpke
Suite 101
Short Hills, NJ 07078-2698

Mailing address

784 Morris Tpke
Suite 101
Short Hills, NJ 07078-2698

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1487014437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 MORRIS TPKE",
            "address_2": "SUITE 101",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 MORRIS TPKE",
            "address_2": "SUITE 101",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782698",
            "telephone_number": "917-582-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT HILLS BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "BHANDARI",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-582-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08137700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Short Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.