Organization Active NPI

Shirish V. Bhatt M.D., P.C.

  • Internal Medicine Physician
  • Fairfield, NJ
National Provider Identifier
1831251255
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA71608 Issued in NJ
Legal business name
SHIRISH V. BHATT M.D., P.C.
Practice address
271 Rte 46 W
Ste H105
Fairfield, NJ 07004-2440
Phone
(973) 575-8644
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Shirish V Bhatt, M.D.NPI 1982694741
Title
President & Ceo
Phone
(973) 575-8644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA71608 NJ Primary

Addresses

Primary practice location

271 Rte 46 W
Ste H105
Fairfield, NJ 07004-2440

Mailing address

271 Rte 46 W
Ste H105
Fairfield, NJ 07004-2440
Phone (973) 575-8644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001023 NJ Part B Supplier - Clinic/Group Practice 3375433766 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfield, NJ

National Provider Directory

National Provider Directory

Locations

271 US Highway 46
Ste H105
Fairfield, NJ 07004
Phone (973) 575-8644

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1831251255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 RTE 46 W",
            "address_2": "STE H105",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-575-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 RTE 46 W",
            "address_2": "STE H105",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-575-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRISH V. BHATT M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "SHIRISH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "973-575-8644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA71608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.