Provider Demographics
NPI:1881651727
Name:BHATIA, JYOTI KAMLESH (MD)
Entity Type:Individual
Prefix:DR
First Name:JYOTI
Middle Name:KAMLESH
Last Name:BHATIA
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 1:31 LOCKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6122
Mailing Address - Country:US
Mailing Address - Phone:609-947-7460
Mailing Address - Fax:
Practice Address - Street 1:TWO CAPITAL WAY
Practice Address - Street 2:SUITE 487
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2521
Practice Address - Country:US
Practice Address - Phone:609-818-1900
Practice Address - Fax:609-818-1908
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA77892207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P3487858OtherOXFORD
NJ0089052Medicaid
2396161000OtherAMERIHEALTH
7251581OtherAETNA
NJ0089052Medicaid
P3487858OtherOXFORD
085955PY5Medicare PIN