Individual provider Active NPI

Neha Madhok Bhambri, MD

  • Allergy & Immunology Physician
  • Staten Island, NY
National Provider Identifier
1740511740
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
249365 Issued in NY
Practice address
11 Ralph PL
Suite 305
Staten Island, NY 10304-4401
Phone
(718) 273-9111
Fax
(718) 448-2003
NPI assigned
Jan 15, 2010
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 249365 NY Primary

Addresses

Primary practice location

11 Ralph PL
Suite 305
Staten Island, NY 10304-4401

Mailing address

11 Ralph PL
Suite 305
Staten Island, NY 10304-4401
Phone (718) 273-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101113000002 NY Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 4183819378 Reassigns benefits to 1 organization
I20180216001538 NJ Practitioner - Allergy/Immunology 4183819378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Boston University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1030 Saint Georges Ave
Suite 200
Avenel, NJ 07001-1330
Phone (732) 636-8844

11 Ralph PL
Suite 205
Staten Island, NY 10304-4405
Phone (718) 273-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Allergy & Asthma Care LLC CurrentSince Nov 21, 2017 Accepting new patients
Advanced Allergy & Asthma Family Care PLLC Allergy & Immunology CurrentSince Sep 4, 2011 Accepting new patients
Hudson Valley Neurosurgical Associates, LLC PastSince Oct 1, 2016 Accepting new patients
Advanced Allergy & Asthma Family Care LLC Past Accepting new patients

Locations

1030 Saint Georges Ave
Ste 200
Avenel, NJ 07001
Phone (732) 636-8844

11 Ralph Pl
Ste 205
Staten Island, NY 10304
Phone (718) 273-9111

11 Ralph Pl
Ste 305
Staten Island, NY 10304
Phone (718) 448-3800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1740511740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 305",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-273-9111",
            "fax_number": "718-448-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RALPH PL",
            "address_2": "SUITE 305",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044401",
            "telephone_number": "718-273-9111",
            "fax_number": "718-448-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMBRI",
        "first_name": "NEHA",
        "middle_name": "MADHOK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "249365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.