1962827683 NPI number — BHANWARLAL CHOWDHURY MD PA

Table of content: (NPI 1962827683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962827683 NPI number — BHANWARLAL CHOWDHURY MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BHANWARLAL CHOWDHURY MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962827683
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1757 S BROAD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRENTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08610-6007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-393-1888
Provider Business Mailing Address Fax Number:
609-396-9234

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 COURTNEY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCETON JUNCTION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08550-1316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-575-3002
Provider Business Practice Location Address Fax Number:
609-396-9234
Provider Enumeration Date:
03/04/2014

Additional Information

Authorized Official

Authorized Official Last Name:
CHOWDHURY
Authorized Official First Name:
BHANWARLAL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
609-393-1888

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  25MA03284900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RG0300X , with the licence number: 25MA03284900 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1013950003 . This is a "CIGNA" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 0072462000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 2991705 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: F06507 . This is a "HEALTHNET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 204792 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1075725 . This is a "HORIZON NJ HEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: P1679696 . This is a "OXFORD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com