Individual provider Active NPI

Karishma J Bhakta

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
National Provider Identifier
1902482896
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Institute for Community Living , Inc. CurrentSince May 16, 2021 Accepting new patients
Icl, Inc. PastSince Mar 28, 2021 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.

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.

Verify at the official NPI Registry.