Govidammal Subramanian, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA04433400 Issued in NJ

Practice address

1700 Myrtle Ave
Plainfield, NJ 07063-1000

Phone

(908) 753-6401

Fax

(908) 226-6743

NPI assigned

Jun 23, 2006

Last updated

Feb 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: govindammal.subramanian.p1@direct.nhscnj.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/13669/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Phillipsburg

  • Federally Qualified Health Center (FQHC)
  • Phillipsburg, NJ
  • NPI 1003850488

  Pediatrics

  Medicare reassignment NPD
• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Elizabeth

  • Federally Qualified Health Center (FQHC)
  • Elizabeth, NJ
  • NPI 1538383666

  Pediatrics

  NPD
• Neighborhood Health Services Corporation

  dba Neighborhood Health Center - Plainfield

  • Federally Qualified Health Center (FQHC)
  • Plainfield, NJ
  • NPI 1316981707

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1154357101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401",
            "fax_number": "908-226-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MYRTLE AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070631000",
            "telephone_number": "908-753-6401",
            "fax_number": "908-226-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "GOVIDAMMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04433400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5091802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Star Rehabs, Inc
• State-Wide Non-Emergency Trans
• David Lyons Stephens, D.C.
• Jeannine Stephenson Buffong, DMD
• Strength and Motion at Home Therapy PC
• Tiffany Summersett, LCSW
• Supportive Housing Options
• Charlesetta T Sutton, LCSW
• Tabula Rasa Psychotherapy, LLC
• Mounira Mohamad Tahch, PA-C

• Pediatrics Physician in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.