Organization Active NPI

Madhuri Bewtra, M.D., LLC

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Englewood, NJ
National Provider Identifier
1568680841
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
License
H49244 Issued in NJ
Legal business name
MADHURI BEWTRA, M.D., LLC
Practice address
405A South Van Brunt St
Suite 405
Englewood, NJ 07646-4604
Phone
(201) 871-4346
Fax
(201) 871-5953
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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

Authorized official

Name
Dr. Madhuri Bewtra, M.D.
Title
Physician
Phone
(201) 871-4346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VH0002X H49244 NJ Primary

Addresses

Primary practice location

405A South Van Brunt St
Suite 405
Englewood, NJ 07646-4604

Mailing address

405A South Van Brunt St
Suite 405
Englewood, NJ 07646-4604
Phone (201) 871-4346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1568680841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405A SOUTH VAN BRUNT ST",
            "address_2": "SUITE 405",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076464604",
            "telephone_number": "201-871-4346",
            "fax_number": "201-871-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405A SOUTH VAN BRUNT ST",
            "address_2": "SUITE 405",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076464604",
            "telephone_number": "201-871-4346",
            "fax_number": "201-871-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHURI BEWTRA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "BEWTRA",
        "authorized_official_first_name": "MADHURI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-871-4346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "H49244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.