Nishith Bhattacharyya, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Maplewood, New Jersey. His current practice location is
2130 Millburn Avenue, Pediatric Surgery Group, Maplewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(888) 287-3652.
Nishith Bhattacharyya is licensed to practice in New Jersey (license number 25MA0669860) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003854092.
Physician's Profile
Full Name | Nishith Bhattacharyya |
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Gender | Male |
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Speciality | Surgery - Pediatric Surgery |
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Location | 2130 Millburn Avenue, Maplewood, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003854092
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 12/21/2010
Medicare PECOS Information:
- PECOS PAC ID: 7618042110
- Enrollment ID: I20080819000166
Medical Identifiers
Medical identifiers for Nishith Bhattacharyya such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003854092 | NPI | - | NPPES |
7558406 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0120X | Surgery - Pediatric Surgery | 25MA0669860 (New Jersey) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nishith Bhattacharyya allows following entities to bill medicare on his behalf.
Entity Name | St Josephs Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nishith Bhattacharyya is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nishith Bhattacharyya, MD P.o. Box 785361, Pediatric Surgery Group, Philadelphia, PA 19178 Ph: (888) 287-3652 | Nishith Bhattacharyya, MD 2130 Millburn Avenue, Pediatric Surgery Group, Maplewood, NJ 07040 Ph: (888) 287-3652 |
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