Active NPI
Gajendra Bham
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1780363499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 345608
- Practice address
- 1901 First Avenue
Department of Medicine, Metropolitan Hospital Center
New York, NY 10029 - Phone
- (212) 423-6771
- Fax
- (212) 423-8099
- NPI assigned
- Jul 12, 2023
- Last updated
- Jul 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 345608 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1901 First Avenue
Department of Medicine, Metropolitan Hospital Center
New York, NY 10029
Mailing address
1901 First Avenue
Department of Medicine, Metropolitan Hospital Center
New York, NY 10029
Phone (212) 423-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Middletown, NY
- NPI 1194608489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1780363499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 FIRST AVENUE",
"address_2": "DEPARTMENT OF MEDICINE, METROPOLITAN HOSPITAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-423-6771",
"fax_number": "212-423-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 FIRST AVENUE",
"address_2": "DEPARTMENT OF MEDICINE, METROPOLITAN HOSPITAL CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-423-6771",
"fax_number": "212-423-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAM",
"first_name": "GAJENDRA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "345608",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.