MEDICARE: BHAVIKA B KAKADIA D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084V0102X	Vascular Neurology Physician	25MB10756700	NJ
2	2084N0400X	Neurology Physician	25MB10756700	NJ

General Provider Information

NPI Number	:	1871947267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVIKA B KAKADIA D.O

Provider Business Mailing Address
First Line	:	355 BARD AVE
Second Line	:	DEPARTMENT OF MEDICINE VILLA BLDG 1ST FLOOR
City	:	STATEN ISLAND
State	:	NY
Zip	:	10310-1664
Country	:	US
Telephone Number	:	718-818-2419
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 PATERSON ST STE 6100
Second Line	:
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-1962
Country	:	US
Telephone Number	:	732-235-7733
Fax Number	:	732-235-7041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	03/04/2026

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