Provider Demographics
NPI:1760429690
Name:BHUSKUTE, BELA HEMANT (MD)
Entity Type:Individual
Prefix:DR
First Name:BELA
Middle Name:HEMANT
Last Name:BHUSKUTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 JANWICH DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1479
Mailing Address - Country:US
Mailing Address - Phone:732-972-9089
Mailing Address - Fax:
Practice Address - Street 1:1944 CORLIES AVE
Practice Address - Street 2:SUITE #103
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4862
Practice Address - Country:US
Practice Address - Phone:732-774-2336
Practice Address - Fax:732-774-2337
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA071451207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01973995Medicaid
NJG97595Medicare UPIN
NJ045811Medicare ID - Type Unspecified
NY26C221Medicare ID - Type Unspecified