Individual provider Active NPI

Amrit Bhardwaj, M.D.

  • Pediatrics Physician
  • Chester, PA
National Provider Identifier
1780974709
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD455072 Issued in PA
Practice address
1 Medical Center Blvd Ste 205
Chester, PA 19013-3902
Phone
(610) 447-7410
Fax
(610) 619-8289
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20180205002283 PA Practitioner - Pediatric Medicine 3870888373 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0012070DEMDPediatrics Physician
ME128399FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Pottstown Clinic Company LLC Pediatrics CurrentSince Aug 26, 2019 Accepting new patients
PM Pediatrics of Delaware PA Pediatrics Past Accepting new patients
PM Pediatrics of Bayside PLLC Past Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients

Locations

1 Medical Center Blvd
Ste 205
Chester, PA 19013
Phone (610) 447-7410

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

800 Heritage Dr
Ste 820
Pottstown, PA 19464
Phone (610) 323-6835

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME128399 FL
Pediatrics Physician 208000000X C1-0012070 DE
Pediatric Sports Medicine Physician 2080S0010X C1-0012070 DE
Pediatric Sports Medicine Physician 2080S0010X MD455072 PA
Pediatrics Physician 208000000X MD455072 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Medical Center Blvd Ste 205
Chester, PA 19013-3902

Mailing address

118 Vineyards CT
Wilmington, DE 19810-3955

Other practice location 1

118 Vineyards Ct
Wilmington, DE 19810-3955
Phone (856) 318-4495

Other practice location 2

1600 Rockland Rd
Wilmington, DE 19803-3607
Phone (302) 651-4200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
017880400MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780974709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VINEYARDS CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD STE 205",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-7410",
            "fax_number": "610-619-8289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Vineyards Ct",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198103955",
            "country_code": "US",
            "telephone_number": "856-318-4495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198033607",
            "country_code": "US",
            "telephone_number": "302-651-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHARDWAJ",
        "first_name": "AMRIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME128399",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C1-0012070",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "DE",
            "license": "C1-0012070",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "PA",
            "license": "MD455072",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD455072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017880400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.