Vipulkumar M. Bhalara, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA10610100 Issued in NJ

Practice address

246 Hamburg Tpke Ste 207
Wayne, NJ 07470-2160

Phone

(973) 653-3366

Fax

(973) 653-3365

NPI assigned

Aug 20, 2015

Last updated

Oct 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Jersey Nephrology Assoc. PAGroup PAC ID 7315908167, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita St. Joseph's SJRMC Dialysis Dialysis facility, Paterson, NJ, CCN 312613
• DaVita St. Joseph's Paterson Dialysis Dialysis facility, Paterson, NJ, CCN 312614
• DaVita East Paterson Dialysis Dialysis facility, Paterson, NJ, CCN 312643
• St Joseph's University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
• St Mary's General Hospital Hospital, Passaic, NJ, CCN 310006
• Saint Clare's Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vipulkumar.bhalara@direct.davitaphysiciansolutions.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Jersey Nephrology Assoc. PA

  • Nephrology Physician
  • Wayne, NJ
  • NPI 1801906896
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eufaula Dialysis LLC

  dba East Paterson Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paterson, NJ
  • NPI 1174954234

  Dialysis facility

  Care Compare affiliation Name & address match
• Simeon Dialysis LLC

  dba St Josephs SJRMC Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paterson, NJ
  • NPI 1639447105

  Dialysis facility

  Care Compare affiliation Name & address match
• Simeon Dialysis LLC

  dba St Josephs Paterson Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Paterson, NJ
  • NPI 1871862730

  Dialysis facility

  Care Compare affiliation Name & address match
• Ahs Hospital Corp.

  dba Chilton Medical Center

  • General Acute Care Hospital
  • Pompton Plains, NJ
  • NPI 1811994809
  Care Compare affiliation
• Prime Healthcare Services - Saint Clare's LLC

  dba Saint Clare's Hospital

  • General Acute Care Hospital
  • Denville, NJ
  • NPI 1598144362
  Care Compare affiliation
• Prime Healthcare Services - St. Mary's Passaic LLC

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  Care Compare affiliation
• St Josephs University Medical Center Inc.

  • General Acute Care Hospital
  • Paterson, NJ
  • NPI 1669462420
  Care Compare affiliation

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1942676267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 207",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-653-3366",
            "fax_number": "973-653-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 HAMBURG TPKE STE 207",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702160",
            "telephone_number": "973-653-3366",
            "fax_number": "973-653-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALARA",
        "first_name": "VIPULKUMAR",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA10610100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3HZN10435320",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.