Organization Active NPI

Pradip Bhattacharjee, M.D. PC

  • Dermatopathology (Pathology) Physician
  • Holmdel, NJ
National Provider Identifier
1891022091
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
25MA08646700 Issued in NJ
Legal business name
PRADIP BHATTACHARJEE, M.D. PC
Practice address
65 Rancho Mirage CT
Holmdel, NJ 07733-2555
Phone
(248) 719-3168
NPI assigned
Nov 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Pradip Bhattacharje, M.D.
Title
Dermatopathologist
Phone
(248) 719-3168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZD0900X 25MA08646700 NJ Primary

Addresses

Primary practice location

65 Rancho Mirage CT
Holmdel, NJ 07733-2555

Mailing address

65 Rancho Mirage CT
Holmdel, NJ 07733-2555
Phone (248) 719-3168

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1891022091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 RANCHO MIRAGE CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332555",
            "telephone_number": "248-719-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RANCHO MIRAGE CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332555",
            "telephone_number": "248-719-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRADIP BHATTACHARJEE, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "BHATTACHARJE",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_title_or_position": "DERMATOPATHOLOGIST",
        "authorized_official_telephone_number": "248-719-3168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "NJ",
            "license": "25MA08646700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.