Poorva Prashant Bhide, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Long Branch, NJ
NPI 1801469598 · NPPES record last updated Jul 20, 2021
Key facts
- NPI
- 1801469598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - Phone
- (732) 923-6537
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20240621000233 | VA | Order and Referring Only - Pulmonary Disease |
7911440797 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | Yes |
Addresses
Primary practice location
300 2ND Ave
Long Branch, NJ 07740-6303
Mailing address
300 2ND Ave
Long Branch, NJ 07740-6303
Phone (732) 923-6537
Other providers in Long Branch, NJ
- Sofia Berardi
- Sonia Bhala
- Hardikkumar Jayantibhai Bhanderi
- Vinay Bhardwaj
- Pinky Bhavsar
- Renu Bhuju
- Stephanie Bianchi
- Kevin Birnie
- Danny Bishara
- Sonia Biswas
All providers in Long Branch, NJ · Student in an Organized Health Care Education/Training Program 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 Jul 20, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.