NISHITH BHATTACHARYYA (NPI# 1003854092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003854092 |
Entity Type | Individual |
Full Name | NISHITH BHATTACHARYYA |
Credential | MD |
Practice Address |
2130 Millburn Avenue Pediatric Surgery Group Maplewood NJ 07040 |
Mailing Address |
P.o. Box 785361 Pediatric Surgery Group Philadelphia PA 19178 |
Practice Telephone | 8882873652 |
Practice Fax Number | 9735496079 |
Mailing Telephone | 8882873652 |
Mailing Fax Number | 9735496079 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2010-12-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
25MA0669860 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 7558406 | 05 |
Street Address |
2130 MILLBURN AVENUE PEDIATRIC SURGERY GROUP |
City | MAPLEWOOD |
State | NJ |
Zip Code | 07040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912952433 | Uvadee Chaibongsai | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-23 |
1790208999 | Rashana Felice Brown | Counselor | 2130 Millburn Avenue, Suite D-1, Maplewood, NJ 07040 | 2017-07-19 |
1780923250 | Janet Louise Kazenel | Social Worker | 2130 Millburn Avenue, Suite D, Maplewood, NJ 07040 | 2013-02-04 |
1265678171 | Bill Powell, Msw, Pa | Social Worker | 2130 Millburn Avenue, Suite D1, Maplewood, NJ 07040 | 2008-12-23 |
1871528943 | Colin A Bethel | Surgery | 2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040 | 2006-07-11 |
1710932918 | Sujata K. Jhaveri | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-24 |
1902851421 | Hillel J. Karp | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-23 |
1356396873 | Millburn Medical Imaging, Pa | Radiology | 2130 Millburn Avenue, Maplewood, NJ 07040 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
Find all providers in zip 07040 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679580781 | Pediatric Surgery Group, LLC | Surgery | 2130 Millburn Ave, Maplewood, NJ 07040-3725 | 2006-08-02 |
1871528943 | Colin A Bethel | Surgery | 2130 Millburn Avenue, Suite C-1, Maplewood, NJ 07040 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104064971 | Victoriya Staab | Surgery | 4 Industrial Way, Suite 100, Eatontown, NJ 07724-4238 | 2009-01-31 |
1699937961 | Meridian Pediatric Surgical Associates, P.C. | Surgery | 4 Industrial Way W Ste 100, Eatontown, NJ 07724-4239 | 2008-06-27 |
1487851366 | Joseph Sujai Udomsaph | Surgery | 7 Baltic St, Edison, NJ 08820-2724 | 2007-07-02 |
1851355317 | Saverio Joseph Panzarino | Surgery | 53 Sentinel Dr, Basking Ridge, NJ 07920-4231 | 2006-04-13 |
1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
1417591645 | Stc Pediatrics LLC | Surgery | 100 Kings Way E Ste C, Sewell, NJ 08080-2238 | 2019-10-31 |
1083939573 | Jennifer M Murphy | Surgery | 100 Madison Avenue, Farris Building, Third Floor, Morristown, NJ 07960 | 2010-03-29 |
1649463696 | Cooper Surgical Asscociates | Surgery | 3 Cooper Plz, Suite 411, Camden, NJ 08103-1438 | 2007-08-23 |
1528265279 | Joelle Pierre | Surgery | One Robert Wood Johnson Place, Department of Pediatric Surgery, New Brunswick, NJ 08903 | 2007-06-27 |
1932223203 | Saad A Saad Md Pa | Surgery | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2007-03-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.