NISHITH BHATTACHARYYA MD NPI 1003854092

NPI Information

  • NPI: 1003854092
  • Provider Name: NISHITH BHATTACHARYYA, MD
  • Classification: Surgery - 2086S0120X
  • Specialization: Pediatric Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2130 MILLBURN AVENUE
    PEDIATRIC SURGERY GROUP
    MAPLEWOOD, NJ
    ZIP 07040
  • Phone: (888) 287-3652

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NPI Details

Nishith Bhattacharyya, MD is a pediatric surgery surgery in Maplewood, NJ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Nishith Bhattacharyya, MD NPI is 1003854092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2130 MILLBURN AVENUE
PEDIATRIC SURGERY GROUP
MAPLEWOOD, NJ
ZIP 07040
Phone: (888) 287-3652
Fax: (973) 549-6079

The NPI 1003854092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 12/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0120XSurgeryPediatric Surgery25MA0669860NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G66800MEDICARE UPIN
27558406MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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