Individual provider Active NPI

Balaji Oruganti, PH.D.

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1215974167
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00672000 Issued in NJ
Practice address
2214 Stillwell Ave
Brooklyn, NY 11223-4250
Phone
(718) 947-3264
Fax
(718) 947-3285
NPI assigned
Jun 1, 2006
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 011677 NY
Speech-Language Pathologist 235Z00000X 41YS00672000 NJ Primary

Addresses

Primary practice location

2214 Stillwell Ave
Brooklyn, NY 11223-4250

Mailing address

16 Jason CT
Morganville, NJ 07751-2228
Phone (718) 757-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730000181 NY Practitioner - Qualified Speech Language Pathologist 2062588395 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
41YS00672000NJMDSpeech-Language Pathologist
011677NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Welllife Network Inc CurrentSince Nov 1, 2011 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Oct 16, 2018 Accepting new patients
Welllife Network Inc., CurrentSince Nov 1, 2011 Accepting new patients
Block Institute, Inc. PastSince Apr 28, 2008 Accepting new patients

Locations

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1215974167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JASON CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512228",
            "telephone_number": "718-757-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234250",
            "telephone_number": "718-947-3264",
            "fax_number": "718-947-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORUGANTI",
        "first_name": "BALAJI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011677",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00672000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.