Aditya R Bansal, MD
Individual provider Active NPI Pulmonary Disease Physician · Galloway, NJ
NPI 1720064546 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1720064546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 25MA09474100 (NJ)
- Practice address
- 741 S 2ND Ave
Suite a
Galloway, NJ 08205-9542 - Phone
- (609) 748-7300
- Fax
- (609) 748-7919
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Atlanticare Health Services, Inc.
Atlanticare Physician Group PA
Practice addresses (Care Compare)
1401 Atlantic Ave
Suite 1125
Atlantic City, NJ 08401-7022
1401 Atlantic Ave
Suite 1600
Atlantic City, NJ 08401-7001
Phone (609) 572-8555
1401 Atlantic Ave
Suite 2600
Atlantic City, NJ 08401-7027
Phone (609) 572-6055
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146
227 N Vermont Ave
FL 1 FQHC at Jefferies Tower
Atlantic City, NJ 08401-5563
Phone (609) 572-8800
7 S Ohio Ave
Atlantic City, NJ 08401-6711
Hospital & facility affiliations
- Atlanticare Regional Medical Center - City Campus
- Southern Ocean Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140716000994 | NJ | Practitioner - Critical Care (Intensivists) |
3476581158 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Atlanticare Health Services, Inc. | Current |
Accepting new patients | |
| Atlanticare Health Services Inc. | Current |
Accepting new patients | |
| Atlanticare Physician Group, PA | Current |
Accepting new patients | |
| Atlanticare Physician Group | Current |
Accepting new patients | |
| Atlanticare Health Services, Inc. | Current | Accepting new patients | |
| Hospital Medicine Group Inc | Past | Accepting new patients | |
| Atlanticare Health Services Inc. | Past | Accepting new patients | |
| Atlanticare Physician Group | Past |
Accepting new patients |
Locations
1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036
1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023
6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251
318 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-9900
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA09474100 | NJ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 25MA09474100 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA09474100 | NJ | Yes |
Addresses
Primary practice location
741 S 2ND Ave
Suite a
Galloway, NJ 08205-9542
Mailing address
741 S 2ND Ave
Suite a
Galloway, NJ 08205-9542
Phone (609) 748-7300
Other names
- Aditya Bansal
Other providers in Galloway, NJ
- Eve Atwell
- Joseph Auble
- Kadie Hartman Auble
- Amy F Austin
- Asma Badar
- Michael Peter Barone
- Casey J Bates
- Katelyn Battistelli
- Allison Bell
- Theresa A Bell
All providers in Galloway, NJ · Pulmonary Disease Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2018. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.