| Bsd Medical Practice II LLC | |
|
1620 Vauxhall Rd Ste 100-11 Union NJ 07083-3409 | |
| (908) 882-2025 | |
| (718) 387-6429 |
| Full Name | Bsd Medical Practice II LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1620 Vauxhall Rd Ste 100-11, Union, New Jersey |
| Authorized Official Name and Position | Anthony Michael Kane (MD/CEO) |
| Authorized Official Contact | 8452029787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsd Medical Practice II LLC 1620 Vauxhall Rd Ste 100-11 Union NJ 07083-3409 Ph: (908) 882-2025 | Bsd Medical Practice II LLC 1620 Vauxhall Rd Ste 100-11 Union NJ 07083-3409 Ph: (908) 882-2025 |
| NPI Number | 1902606833 |
|---|---|
| Provider Enumeration Date | 03/18/2025 |
| Last Update Date | 09/16/2025 |
| Certification Date | 09/16/2025 |
| Medicare PECOS PAC ID | 3476062712 |
|---|---|
| Medicare Enrollment ID | O20250529003732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902606833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Secondary |
| Provider Name | Pranathi R Mandadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689695538 PECOS PAC ID: 2860416708 Enrollment ID: I20060120000265 |
| Provider Name | Jaimin Dudhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261544 PECOS PAC ID: 7618223470 Enrollment ID: I20180709002786 |
| Provider Name | O'neil Chaudhry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699396275 PECOS PAC ID: 4385099613 Enrollment ID: I20231006000569 |
| Provider Name | Dima Mohammad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952821993 PECOS PAC ID: 6709206857 Enrollment ID: I20250806003219 |
| Provider Name | Barri Lentini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558538694 PECOS PAC ID: 4385137454 Enrollment ID: I20251205003434 |
| Provider Name | Austin Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518829977 PECOS PAC ID: 6406335694 Enrollment ID: I20260209001510 |
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