Madireddy Subbareddy MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

112106 Issued in NY

Legal business name

MADIREDDY SUBBAREDDY MD PC

Practice address

14015 Sanford Ave
Flushing, NY 11355

Phone

(718) 353-5856

Fax

(718) 870-6479

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Madireddy Subareddy, MD PC

Title

President

Phone

(516) 724-6309

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madireddy Subbareddy MD PC Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154433340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ST NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-353-5856",
            "fax_number": "718-670-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 SANFORD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-353-5856",
            "fax_number": "718-870-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADIREDDY SUBBAREDDY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUBAREDDY",
        "authorized_official_first_name": "MADIREDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-724-6309",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "112106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00202584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madireddy Subbareddy MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Tovah Machlis, OTR/L
• Alexandra Anne Maclean, MD
• Rebecca Macleod, SLP
• Michaela Maddox, P.A.
• Madhu Sinha MD PC
• Elizabeth Madrigal
• Ki Tae Maeng, PT, LAC
• Maf Rehab PT PC
• Shamika Magalee, LPN
• Sergio Magana Avila, MD

• Urology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.