Bobak Bidabadi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA0775700 Issued in NJ

Practice address

3086 Route 27
Suite 8
Kendall Park, NJ 08824

Phone

(732) 422-0393

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Bidabadi Pediatrics, LLC

  • Pediatrics Physician
  • Kendall Park, NJ
  • NPI 1164975447
  NPD (past) Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1548206048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NANCY ST",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241652",
            "telephone_number": "732-398-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3086 ROUTE 27",
            "address_2": "SUITE 8",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "08824",
            "telephone_number": "732-422-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDABADI",
        "first_name": "BOBAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA0775700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balancing Life Counseling Center
• Dennis Balgowan, M.D.
• Masha Belova, LCSW
• Robert B Berger, MD
• Bidabadi Pediatrics, LLC
• Marideanne Blomgren, LPC
• Ronnie Bochner, M.D.
• Patricia M. Brady, ED.D.
• Brunswick Internal Medicine Group PC
• Brunswick Valley Orthodontics, LLC

• Pediatrics Physician in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.