Vivek Laxman Bagade, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06029400 Issued in NJ

Practice address

452 Old Hook Rd
2ND Floor
Emerson, NJ 07630-1381

Phone

(201) 666-3900

Fax

(201) 261-0505

NPI assigned

Feb 17, 2008

Last updated

Apr 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jersey City Medical Center Hospital, Jersey City, NJ, CCN 310074

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vbagade124021@epicdirect.rwjbh.org

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.

• BHMG - United Medical

  • Internal Medicine Physician
  • Lyndhurst, NJ
  • NPI 1639594377
  Medicare reassignment Care Compare group NPD
• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  NPD (past)
• The Heart Center of the Oranges

  • Cardiovascular Disease Physician
  • East Orange, NJ
  • NPI 1477532588

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jersey City Medical Center

  • General Acute Care Hospital
  • Jersey City, NJ
  • NPI 1689744856
  Care Compare affiliation
• Jersey City Medical Center

  dba Jersey City Medical Center/AMB

  • Ambulance
  • Jersey City, NJ
  • NPI 1871738021

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1760650394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419430",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419430",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 OLD HOOK RD",
            "address_2": "2ND FLOOR",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301381",
            "telephone_number": "201-666-3900",
            "fax_number": "201-261-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGADE",
        "first_name": "VIVEK",
        "middle_name": "LAXMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-17",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06029400",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "38451 - 020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7080000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Archer M. Katz DMD PA
• Adrienne Tamar Ashbahian, PHARMD
• Nomaan Ashraf, MD
• Eric S Avezzano, MD
• Jenny Soledad Ayala, M.D.
• Mary Barr, APN
• Tracy C Barron, B.C.B.A.
• Muhiba Begum, PMHNP-BC
• Alyse R Bellomo, MD
• Ari Ben-Yishay, MD

• Internal Medicine Physician in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.