Organization Active NPI

Dr. Jay Bhuta PC

  • Foot & Ankle Surgery Podiatrist
  • Millburn, NJ
National Provider Identifier
1962951293
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00325500 Issued in NJ
Legal business name
DR. JAY BHUTA PC
Practice address
225 Millburn Ave Ste 104B
Millburn, NJ 07041-1712
Phone
(732) 532-3668
Fax
(973) 577-4003
NPI assigned
Sep 28, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jay Bhuta, DPMNPI 1467710889
Title
Owner
Phone
(732) 532-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00325500 NJ Primary

Addresses

Primary practice location

225 Millburn Ave Ste 104B
Millburn, NJ 07041-1712

Mailing address

43 Pine Blvd
Cedar Knolls, NJ 07927-1212
Phone (973) 525-3129

Other practice location 1

200 S Orange Ave Ste 118
Livingston, NJ 07039-5817
Phone (732) 532-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161213000679 NJ Part B Supplier - Clinic/Group Practice 5890075626 Receives reassigned benefits from 3 practitioners
Practice locations: Livingston, NJ; Millburn, NJ; Springfield, NJ
O20170327002967 NJ DME Supplier - Physician - Podiatry 5890075626 Practice locations: Millburn, NJ

National Provider Directory

National Provider Directory

Locations

200 S Orange Ave
Ste 118
Livingston, NJ 07039
Phone (732) 532-3668

225 Millburn Ave
Ste 104B
Millburn, NJ 07041
Phone (973) 379-5888

592B Springfield Ave
Westfield, NJ 07090
Phone (908) 233-8860

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1962951293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PINE BLVD",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271212",
            "telephone_number": "973-525-3129",
            "fax_number": "973-994-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE STE 104B",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411712",
            "telephone_number": "732-532-3668",
            "fax_number": "973-577-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Orange Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395817",
            "country_code": "US",
            "telephone_number": "732-532-3668",
            "fax_number": "973-577-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. JAY BHUTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BHUTA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-532-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00325500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.