Provider Demographics
NPI:1477873339
Name:BHATIA, NITA (DO)
Entity Type:Individual
Prefix:DR
First Name:NITA
Middle Name:
Last Name:BHATIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MADISON AVENUE
Mailing Address - Street 2:DEPT OF PSYCHIATRY
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962-1953
Mailing Address - Country:US
Mailing Address - Phone:973-971-5366
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVENUE
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1953
Practice Address - Country:US
Practice Address - Phone:973-971-5366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB094279002084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJAPPLICATION IN PROCEMedicaid