Dr. Susheel Bathla

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

25MD00304500 Issued in NJ

Legal business name

DR. SUSHEEL BATHLA

Practice address

172 Deer Run
Watchung, NJ 07069-6222

Phone

(917) 826-5709

NPI assigned

Feb 10, 2011

Last updated

Feb 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susheel Bathla, DPM

Title

Podiatrist/Owner

Phone

(917) 826-5709

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1699071514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 DEER RUN",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696222",
            "telephone_number": "917-826-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 DEER RUN",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696222",
            "telephone_number": "917-826-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSHEEL BATHLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "BATHLA",
        "authorized_official_first_name": "SUSHEEL",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "917-826-5709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NJ",
            "license": "25MD00304500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.