Surya Health Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SURYA HEALTH CARE LLC

Practice address

1031 McBride Ave
Suite D 208
West Paterson, NJ 07424-2559

Phone

(738) 121-0109

Fax

(973) 200-0120

NPI assigned

Nov 13, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Krishna V Bhaskarabhatla, MDNPI 1689621849

Title

Managing Partner

Phone

(973) 812-1010

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12781/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishna Venkata Murali Bhaskarabhatla, MD

  • Family Medicine Physician
  • Brentwood, CA
  • NPI 1689621849

  NJ

  Medicare reassignment NPD Authorized official
• Kausalya Chennapragada Bhaskarabhatla, M.D.

  • Internal Medicine Physician
  • Antioch, CA
  • NPI 1003867607

  NJ

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1144474313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE STE D208",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242569",
            "telephone_number": "973-812-1010",
            "fax_number": "973-200-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 MCBRIDE AVE",
            "address_2": "SUITE D 208",
            "city": "WEST PATERSON",
            "state": "NJ",
            "postal_code": "074242559",
            "telephone_number": "738-121-0109",
            "fax_number": "973-200-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "BHASKARABHATLA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "973-812-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James M Record, M.D.
• Richard C.Blumenfeld D.D.S.;P.a.
• Patricia A Rizzo-Krapels, D.C.
• Roberto A Solis, M.D.
• Subodh H. Patel, MD
• Norman A Sutta, DDS
• Syed Jafri MD PA
• Things and More Inc (Tami)
• Eugene Raymond Tompkins, RPH
• Subbarao Vallabhaneni, M.D

• Family Medicine Physician in West Paterson, NJ
• Providers in West Paterson, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.