Provider Demographics
NPI:1396760609
Name:BHALODIA, MANISH VALLABHDAS (MD)
Entity type:Individual
Prefix:DR
First Name:MANISH
Middle Name:VALLABHDAS
Last Name:BHALODIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:271 GROVE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-1730
Mailing Address - Country:US
Mailing Address - Phone:973-559-3700
Mailing Address - Fax:833-484-1686
Practice Address - Street 1:825 BLOOMFIELD AVE
Practice Address - Street 2:STE LL-1
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044
Practice Address - Country:US
Practice Address - Phone:973-233-4493
Practice Address - Fax:833-484-1611
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2025-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06543200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8864831OtherEMBLEM HEALTH
NJ00002162903OtherEMPIRE/UHC
NJ5746276OtherCIGNA
NJ00002162903OtherUNITED HEALTHCARE
NJ60426946OtherHORIZON NJ HEALTH
NJ2367323OtherUS AETNA
NJ060063308OtherRAILROAD MEDICARE
NJG89522Medicare UPIN
NJ7930208Medicaid