Anita Bhavnani
Individual provider Active NPI Emergency Medicine Physician · Bedminster, NJ
NPI 1801965769 · NPPES record last updated Aug 12, 2015
Key facts
- NPI
- 1801965769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MA56911 (NJ)
- Practice address
- 470A US Highway 202
Bedminster, NJ 07921-1559 - Phone
- (908) 781-7171
- Fax
- (908) 781-7172
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20050121000324 | NJ | Practitioner - Emergency Medicine | 9234188756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56911 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somerset Valley Urgent Care, L.L.C. | Current |
Accepting new patients | |
| Southern Bank Emergency Physicians LLC | Emergency Medicine | Past |
Accepting new patients |
Locations
470A US Highway 202 206
Bedminster, NJ 07921
Phone (908) 781-7171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA56911 | NJ | Yes |
Addresses
Primary practice location
470A US Highway 202
Bedminster, NJ 07921-1559
Mailing address
470A US Highway 202
Bedminster, NJ 07921-1559
Phone (908) 781-7171
Other providers in Bedminster, NJ
- Bedminster Eye and Laser Center, P.a.
- Bedminster Homecare PT
- Bedminster Orthopaedics & Sports Medicine PA
- Bedminster Specialty Pharmacy Inc.
- Better Wellness Counseling and Consulting LLC
- Lisa Marie Bonaventura
- Corey Scott Bosin
- Felicia Bradley
- Robert Laurie Branch
- Bridges Counseling Center for Child & Family Wellness at Bedminster
All providers in Bedminster, NJ · Emergency Medicine Physician 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 Aug 12, 2015. 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.