Individual provider Active NPI

Kanan H. Bhatt

  • Family Nurse Practitioner
  • Princeton, NJ
National Provider Identifier
1538701313
Registry record updated Oct 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00966900 Issued in NJ
Practice address
29 Rutgers LN
Princeton, NJ 08540-7934
Phone
(609) 508-2843
Fax
(609) 508-2843
NPI assigned
Oct 12, 2019
Last updated
Oct 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00966900 NJ Primary

Addresses

Primary practice location

29 Rutgers LN
Princeton, NJ 08540-7934

Mailing address

29 Rutgers LN
Princeton, NJ 08540-7934
Phone (609) 508-2843

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001152 NJ Practitioner - Nurse Practitioner 4688008709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 Ewing St
Trenton, NJ 08609-1004
Phone (609) 278-6029

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-6029

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00966900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J Austin Health Center Inc CurrentSince Nov 4, 2019 Accepting new patients
Henry J. Austin Health Center, Inc. CurrentSince Nov 4, 2019 Accepting new patients
Capital Health System, Inc. Past Accepting new patients
Henry J Austin Health Center, Inc Past Accepting new patients
Capital Health System Inc Past Accepting new patients

Locations

10 Southard St
Trenton, NJ 08609
Phone (609) 396-4557

112 Ewing St
Trenton, NJ 08609
Phone (609) 278-6033

218 N Broad St
Trenton, NJ 08608
Phone (609) 581-0283

314 E State St
Trenton, NJ 08608
Phone (609) 396-4258

314 E State St
#316
Trenton, NJ 08608
Phone (609) 396-4258

321 N Warren St
Trenton, NJ 08618
Phone (609) 278-6029

433 Bellevue Ave
Fl 4
Trenton, NJ 08618
Phone (609) 278-6029

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5bb47b8f-8587-42a0-80df-8d4eecf69db3/
  • Direct secure messaging: kanan.bhatt.1@12521.direct.athenahealth.com

Organizations & group practices 5

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": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570838400000",
    "number": "1538701313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RUTGERS LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407934",
            "telephone_number": "609-508-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 RUTGERS LN",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085407934",
            "telephone_number": "609-508-2843",
            "fax_number": "609-508-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATT",
        "first_name": "KANAN",
        "middle_name": "H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2019-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00966900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.