Healthcare Provider Details

I. General information

NPI: 1295960706
Provider Name (Legal Business Name): NINA P. BHATIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 ROUTE 9 STE 112
MANALAPAN NJ
07726-8294
US

IV. Provider business mailing address

195 ROUTE 9 STE 112
MANALAPAN NJ
07726-8294
US

V. Phone/Fax

Practice location:
  • Phone: 732-362-3660
  • Fax:
Mailing address:
  • Phone: 732-362-3660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number25MA09456600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: