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NPI 1215469739

NPI 1215469739 : JANAK BHATT : OCEANSIDE, NY

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General NPI Number Information
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    NPI Number           |    1215469739
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    Entity Type          |    Individual 
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    Provider Name        |    JANAK BHATT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2017
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    Last Update Date     |    05/14/2025
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Provider Practice Location Address
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    Address Line         |    1 HEALTHY WAY 
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    City                 |    OCEANSIDE
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    State                |    NY
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    Zip                  |    11572-1551
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    Country              |    US
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    Telephone            |    516-632-3000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    450 CLARKSON AVE SUNY DOWNSTATE
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11203-2012
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    25MA11114600
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    333681
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    License Number State |    NY
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