Active NPIIndividual providerSole proprietor

Dr. Vikas S Bawa, DPM

Podiatrist, Foot & Ankle Surgery in Newark, New Jersey

NPI Number1053480475
Practice location
1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397
Fax
973-741-2700
Last updated
September 4, 2008

Vikas S. Bawa is a Podiatrist, Foot & Ankle Surgery based in Newark, NJ. Vikas S. Bawa practices in Newark, NJ and has the professional credentials of DPM. The NPI Number for Vikas S. Bawa is 1053480475 and holds a License No. 25MD00260200 (NJ). The current practice location address for Vikas S. Bawa is 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397 and can be reached out via phone at 973-642-6500 and via fax at 973-741-2700.

Provider Profile Details

NPI Number
1053480475
Provider Name
Vikas S. Bawa
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397
Phone Number
973-642-6500
Fax Number
973-741-2700
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2006
Last Update Date
September 4, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1060 Broad St
Lower Level Medical Office
Newark, NJ 07102-2397
City
Newark
Zip
07102-2397
Phone Number
973-642-6500
Fax Number
973-741-2700
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
12 Sherwood Ln
Columbus, NJ 08022-2248
City
Columbus
State
NJ
Zip
08022-2248
Phone Number
973-906-3344

License Information

License Number
25MD00260200
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Vikas S Bawa, DPM?

The NPI number of Dr. Vikas S Bawa, DPM is 1053480475. It was assigned on November 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Vikas S Bawa, DPM?

Dr. Vikas S Bawa, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00260200.

Where does Dr. Vikas S Bawa, DPM practice?

The practice location is 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102-2397. The office can be reached at 973-642-6500 (phone) or 973-741-2700 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053480475 directly on the NPPES registry website.

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