Jeet Bhaidasna Medical Care PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

282447-1 Issued in NY

Legal business name

JEET BHAIDASNA MEDICAL CARE PC

Practice address

64 County Road 39
Southampton, NY 11968-5215

Phone

(631) 702-1000

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Jeet Bhaidasna, DO

Title

Owner

Phone

(516) 712-7650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1982121810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOLIDAY CT",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119462690",
            "telephone_number": "516-712-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COUNTY ROAD 39",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685215",
            "telephone_number": "631-702-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEET BHAIDASNA MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "BHAIDASNA",
        "authorized_official_first_name": "JEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-712-7650",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "282447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Patrick Iovino, D.D.S.
• Robert Pascal Iovino, D.D.S.
• Michael B Israel, MD
• Ankita Jain, MD
• James a Brady MD PC
• Taylor Jenkins
• Debra Ann Jensen, P.T.A.
• Shan Jin, DO
• Nevin Johnson
• Joseph Debellis MD PC

• Physical Medicine & Rehabilitation Physician in Southampton, NY
• Providers in Southampton, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.