Provider Demographics
NPI:1427081736
Name:BHARUCHA, DILIP (MD)
Entity type:Individual
Prefix:DR
First Name:DILIP
Middle Name:
Last Name:BHARUCHA
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:DILIP
Other - Middle Name:
Other - Last Name:BHARUCHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1527 LINCOLN HWY STE 1400
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3905
Mailing Address - Country:US
Mailing Address - Phone:732-246-7744
Mailing Address - Fax:888-815-1820
Practice Address - Street 1:5 AUER COURT
Practice Address - Street 2:SUITE #B
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5827
Practice Address - Country:US
Practice Address - Phone:732-651-4142
Practice Address - Fax:732-651-5950
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04415100207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0725005Medicaid
NJ473453Medicare PIN
NJ0725005Medicaid