Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bhakti Jaideep Dudani, PA

Individual provider Physician Assistant · NPI 1164170866

Bhakti Jaideep Dudani, PA is a Physician Assistant in Hackensack, New Jersey. Qualified in 2021, 5 years ago. Practices with Doctors Office of West Caldwell LLC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone: (551) 996-4777
Fax: (551) 996-0099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 556 Passaic Ave, West Caldwell, NJ 07006-7449 — (973) 808-2273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00821000 (NJ)

Record details

NPI number1164170866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 13, 2022
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Doctors Office Of West Caldwell Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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