Vibhay Bhatnagar, MD
Individual provider Active NPI Specialist · Iselin, NJ
NPI 1679507347 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1679507347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- MA40360 (NJ)
- Practice address
- 530 Green Street
Iselin, NJ 08830 - Phone
- (732) 283-0440
- Fax
- (732) 283-8943
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621000028 | NJ | Practitioner - Cardiovascular Disease (Cardiology) |
1557355310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA40360 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Cardiology Reading Associates LLC | Current |
Accepting new patients | |
| Cardiology Professional Services at Raritan Bay Inc | Past | Accepting new patients | |
| Associates in Cardiology and Internal Medicine PA | Specialist | Past |
Accepting new patients |
| Community Hospital Group, Inc | Specialist | Past | Accepting new patients |
Locations
42 Throckmorton Ln
Old Bridge, NJ 08857
Phone (732) 607-1111
530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007
Interoperability endpoints
- vibhay.bhatnagar@maom.ehi.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA40360 | NJ | Yes |
Addresses
Primary practice location
530 Green Street
Iselin, NJ 08830
Mailing address
32N Main St
Marlboro, NJ 07746-1429
Phone (732) 462-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1712705 | Medicaid | NJ |
Other providers in Iselin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.