Individual provider Active NPI

Shailendra Bhatnagar, M.D.

  • Emergency Medicine Physician
  • Union, NJ
National Provider Identifier
1548229792
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
177981-1 Issued in NY
Practice address
1000 Galloping Hill Road
Overlook Hospital, Union Campus
Union, NJ 07083
Phone
(908) 522-6300
Fax
(973) 436-5660
NPI assigned
Mar 17, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101255055 VA
Emergency Medicine Physician 207P00000X 177981-1 NY Primary
Emergency Medicine Physician 207P00000X 2012-02014 NC
Emergency Medicine Physician 207P00000X 25MA05206400 NJ
Emergency Medicine Physician 207P00000X MD13999 RI

Addresses

Primary practice location

1000 Galloping Hill Road
Overlook Hospital, Union Campus
Union, NJ 07083

Mailing address

3 Century Dr
Parsippany, NJ 07054-4610
Phone (973) 740-0607

Other identifiers 2

IdentifierTypeStateIssuer
01147295MedicaidNY
0432580MedicaidNJ

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
I20141022000766 NJ Practitioner - Emergency Medicine 8426942673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Urgent Care Plus PCGroup PAC ID 4385624162, 14 clinicians
Atlantic Advanced Urgent CareGroup PAC ID 4385986330, 44 clinicians

Practice addresses (Care Compare)

111 James St
Edison, NJ 08820-3967
Phone (732) 452-9700

333 US Hwy 46
Suite 106
Mountain Lakes, NJ 07046-1741
Phone (973) 939-6220

769 Northfield Ave
West Orange, NJ 07052-1198
Phone (848) 308-4609

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05206400NJMDEmergency Medicine Physician
177981-1NYMDEmergency Medicine Physician
0101255055VAMDEmergency Medicine Physician
177981NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Urgent Care, LLC CurrentSince May 10, 2024 Accepting new patients
Atlantic Advanced Urgent Care Emergency Medicine CurrentSince May 10, 2024 Accepting new patients
Hackensack Meridian Urgent Care Plus PC CurrentSince Feb 1, 2024 Accepting new patients
Union Emergency Medical Associates LLC Emergency Medicine CurrentSince Oct 15, 2014 Accepting new patients
Long Island Emergency Care PC Emergency Medicine Past Accepting new patients
William R. Collini, M.D., P.a. PastSince May 10, 2024 Accepting new patients

Locations

140 Central Ave
Clark, NJ 07066
Phone (732) 499-0606

111 James St
Edison, NJ 08820
Phone (732) 452-9700

333 US Highway 46
Ste 106
Mountain Lks, NJ 07046
Phone (973) 829-7965

181 High St
Newton, NJ 07860
Phone (973) 383-9898

376 Route 15
Ste 101
Sparta, NJ 07871
Phone (973) 383-9898

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

Interoperability endpoints

  • Direct secure messaging: sbhatnagar47646@direct.ahsys.org

Organizations & group practices 6

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1548229792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTURY DR",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544610",
            "telephone_number": "973-740-0607",
            "fax_number": "973-436-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL ROAD",
            "address_2": "OVERLOOK HOSPITAL, UNION CAMPUS",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "908-522-6300",
            "fax_number": "973-436-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATNAGAR",
        "first_name": "SHAILENDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101255055",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "177981-1",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2012-02014",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA05206400",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD13999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01147295",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0432580",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.