Individual provider Active NPI

Vinod Rao Bhashyam, M.D

  • Psychiatry Physician
  • Brick, NJ
National Provider Identifier
1801831532
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07738000 Issued in NJ
Practice address
35 Beaverson Blvd
#1 D
Brick, NJ 08723-7812
Phone
(732) 920-7933
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA07738000 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd
#1 D
Brick, NJ 08723-7812

Mailing address

35 Beaverson Blvd
#1 D
Brick, NJ 08723-7812
Phone (732) 920-7933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 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
I20040929000957 NJ Practitioner - Psychiatry 6709855422 Reassigns benefits to 1 organization
I20110311000078 NY Practitioner - Psychiatry 6709855422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Life Excel, LLCGroup PAC ID 8729057583, 4 clinicians

Practice addresses (Care Compare)

35 Beaverson Blvd
Brick, NJ 08723-7854
Phone (732) 920-7933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychiatry, PC Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Bronxcare Health System Psychiatry CurrentSince Jan 1, 1992 Accepting new patients
Bronxcare Health System Psychiatry Current Accepting new patients
Life Excel, LLC CurrentSince Jan 8, 2004 Accepting new patients
Bronxcare Health System CurrentSince Jan 1, 1992 Accepting new patients
Life Excel, LLC Past Accepting new patients
Life Excel, LLC Past Accepting new patients

Locations

35 Beaverson Blvd
Ste 1D
Brick, NJ 08723
Phone (732) 920-7932

1276 Fulton Ave
#C
Bronx, NY 10456
Phone (718) 901-8646

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911

1276 Fulton Ave
#206
Bronx, NY 10456

514 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1801831532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "#1 D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-920-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "#1 D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-920-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASHYAM",
        "first_name": "VINOD",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07738000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.