G Bhanusali MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

153339-1 Issued in NY

Legal business name

G BHANUSALI MD PC

Practice address

15 Dunning Road
Suite 2
Middletown, NY 10940-2212

Phone

(845) 342-1553

Fax

(845) 343-3723

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Govindlal K Bhanusali, MD

Title

President

Phone

(845) 342-1553

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1700069242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DUNNING ROAD",
            "address_2": "SUITE 2",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402212",
            "telephone_number": "845-342-1553",
            "fax_number": "845-343-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DUNNING ROAD",
            "address_2": "SUITE 2",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402212",
            "telephone_number": "845-342-1553",
            "fax_number": "845-343-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G BHANUSALI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "BHANUSALI",
        "authorized_official_first_name": "GOVINDLAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-342-1553",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "153339-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276291",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "02D991",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Lauren Fuller, PHARMD.
• Ryan Fuller
• Brandon Funk, DO
• Jaimee Furman
• Hassan Furqan, MD
• Nimfa Gozum Gabriana, M.D.
• Gerard Jules Galarneau, M.D.
• Lex Galarza
• Jodi Lynn Galaydick, MD
• Hanna Gallagher

• Orthopaedic Surgery Physician in Middletown, NY
• Providers in Middletown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.