Janardhan Bollu, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA059857 Issued in NJ

Practice address

32 Hine St
Paterson, NJ 07503-2955

Phone

(973) 754-9600

Fax

(973) 754-9700

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

GastroenterologyAlso: Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
• JFK University Medical Center Hospital, Edison, NJ, CCN 310108

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECIBBA/Endpoint/ECIBBA

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.

• Janardhan Bollu MD PA

  • Gastroenterology Physician
  • Paterson, NJ
  • NPI 1205881190
  Medicare reassignment NPD Authorized official
• Premier Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • Clifton, NJ
  • NPI 1942397104
  Medicare reassignment NPD

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

• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Edison, NJ
  • NPI 1144894577
  Care Compare affiliation
• HMH Hospitals Corporation

  • Clinical Medical Laboratory
  • Edison, NJ
  • NPI 1780301366

  Hospital

  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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1952370819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7107",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070677107",
            "telephone_number": "973-754-9600",
            "fax_number": "973-754-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 HINE ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032955",
            "telephone_number": "973-754-9600",
            "fax_number": "973-754-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLU",
        "first_name": "JANARDHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA059857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue River Women'S Health PA
• Blue Star Urgent Care
• Monica Anne Mary Domantay Bobila, MD
• Kishanrao Bogavelli, MD
• Maged Boghdady, M.D.
• Maryanne Bolton, DNP, RN., APN-BC
• Veera Jayasree Latha Bommu, MBBS
• Mary Ann Bonilla, M.D.
• Judith Bonjour, NP
• Serge Bontemps, MD

• Gastroenterology Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.