Active NPI
Karishma J Bhakta
- Student in an Organized Health Care Education/Training Program
- New York, NY
National Provider Identifier
1902482896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 125 Broad St
New York, NY 10004-2400 - Phone
- (212) 385-3030
- NPI assigned
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
125 Broad St
New York, NY 10004-2400
Mailing address
10 City PT Apt 25C
Brooklyn, NY 11201-5395
Phone (562) 552-7208
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karishma.bhakta@iclinc.net | Direct | Institute For Community Living, Inc. |
| Direct Messaging Address | karishma.bhakta@iclinc.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Community Living , Inc. | Current | Accepting new patients | |
| Icl, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- New York, NY
- NPI 1811571565
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1306220702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1902482896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CITY PT APT 25C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015395",
"telephone_number": "562-552-7208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BROAD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100042400",
"telephone_number": "212-385-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "KARISHMA J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "karishma.bhakta@iclinc.net",
"affiliation": "Y",
"endpointDescription": "Work Email",
"affiliationName": "Institute For Community Living, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work ICL Email",
"address_1": "Institue For Community Living, Inc.",
"address_2": "40 Rector Street",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "10006",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "karishma.bhakta@iclinc.net",
"affiliation": "N",
"address_1": "125 Broad St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100042400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.