Mamata J Bharucha, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

024210 Issued in CT

Practice address

3180 Main Street
Suite 202
Bridgeport, CT 06606

Phone

(203) 374-0404

Fax

(203) 372-4167

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mamataj.bharucha@xdr.hhchealthdirect.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 25, 2014.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1902913585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 MAIN STREET",
            "address_2": "SUITE 202",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-374-0404",
            "fax_number": "203-372-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 MAIN STREET",
            "address_2": "SUITE 202",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-374-0404",
            "fax_number": "203-372-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARUCHA",
        "first_name": "MAMATA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "024210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001242106",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea E Bertolozzi, LPC
• Fantashia Best
• BH Northbridge LLC
• Nimesh Bhargava, R.D.
• Jitendra Bhagwandas Bharucha, M.D.
• Nuthan Bhat, M.B.B.S
• Arvind Bhatt, PHARMD
• Sandhya Bhusal, MD
• Bignon Medical Transportation LLC
• John C Binkowski Jr.

• All providers in Bridgeport, CT
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.