Individual provider Active NPI

Kandy Bahadur

  • Pediatrics Physician
  • New Brunswick, NJ
National Provider Identifier
1548792898
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA10047400 Issued in NJ
Practice address
125 Paterson St
Meb 308
New Brunswick, NJ 08901-1962
Phone
(732) 235-7883
NPI assigned
Mar 28, 2017
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA10047400 NJ Primary

Addresses

Primary practice location

125 Paterson St
Meb 308
New Brunswick, NJ 08901-1962

Mailing address

401 Route 73 N BLDG 10, Suite 320
Marlton, NJ 08053
Phone (973) 584-0002

Other practice location 1

151 Route 10 Ste 105
Succasunna, NJ 07876-1452
Phone (973) 584-0002

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
I20170714000329 NJ Practitioner - Pediatric Medicine 8325318942 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Aug 10, 2023 Accepting new patients
Advocare , LLC CurrentSince Aug 10, 2023 Accepting new patients
Advocare , LLC Past Accepting new patients
Rutgers Robert Wood Johnson Medical School Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

151 State Route 10 E
Ste 105
Succasunna, NJ 07876
Phone (973) 584-0002

Interoperability endpoints

  • Direct secure messaging: kandy.bahadur@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1548792898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10, SUITE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "973-584-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATERSON ST",
            "address_2": "MEB 308",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011962",
            "telephone_number": "732-235-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Route 10 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Succasunna",
            "state": "NJ",
            "postal_code": "078761452",
            "country_code": "US",
            "telephone_number": "973-584-0002",
            "fax_number": "973-584-7107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHADUR",
        "first_name": "KANDY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10047400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.