NPIMap

Individual provider Active NPI

Nina Bhambhani, M.D.

  • Rheumatology Physician
  • East Stroudsburg, PA
National Provider Identifier
1831147545
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD481390 Issued in PA
Practice address
505 Independence Rd
East Stroudsburg, PA 18301-7916
Phone
(610) 776-5038
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237936 NY
Rheumatology Physician 207RR0500X 237936 NY
Rheumatology Physician 207RR0500X MD481390 PA Primary

Addresses

Primary practice location

505 Independence Rd
East Stroudsburg, PA 18301-7916

Mailing address

11220 72ND Dr
Forest Hills, NY 11375-5631
Phone (718) 441-3900

Other practice location 1

11220 72nd Dr
Forest Hills, NY 11375-5631
Phone (718) 441-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbhambhani119322@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060920000322 NY Practitioner - Internal MedicinePractitioner - Rheumatology 9739184060 Reassigns benefits to 2 organizations
I20230929000940 PA Practitioner - Rheumatology 9739184060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

3080 Hamilton Blvd
Suite 300
Allentown, PA 18103-3694
Phone (610) 776-5038

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237936NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Internal Medicine Current Accepting new patients
New York University Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 21, 2023 Accepting new patients
New York University Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 21, 2023 Accepting new patients
Broadway Cardiopulmonary, P.C. Internal Medicine Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients
Summit Health Internal Medicine PastSince Aug 1, 2020 Accepting new patients

Locations

24818 Union Tpke
Bellerose, NY 11426
Phone (718) 300-3368

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

3080 Hamilton Blvd
Ste 300
Allentown, PA 18103
Phone (610) 402-5988

2100 Mack Blvd
Fl 4
Allentown, PA 18103

505 Independence Rd
East Stroudsburg, PA 18301
Phone (484) 862-3001

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Interoperability endpoints

  • Direct secure messaging: nbhambhani821433@direct2.lvhn.org
  • Direct secure messaging: nbhambhani119322@nyumc.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1831147545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11220 72ND DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755631",
            "telephone_number": "718-441-3900",
            "fax_number": "718-480-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 INDEPENDENCE RD",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183017916",
            "telephone_number": "610-776-5038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11220 72nd Dr",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113755631",
            "country_code": "US",
            "telephone_number": "718-441-3900",
            "fax_number": "718-480-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAMBHANI",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237936",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "237936",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD481390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbhambhani119322@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "9785 Queens Blvd",
            "city": "Rego Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113743319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.