Individual provider Active NPI

Subroto Paul, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
National Provider Identifier
1275648933
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
212896 Issued in MA
Practice address
130 E 77TH St FL 4
New York, NY 10075-1851
Phone
(212) 734-3000
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 212896 MA Primary

Addresses

Primary practice location

130 E 77TH St FL 4
New York, NY 10075-1851

Mailing address

130 E 77TH St FL 4
New York, NY 10075-1851
Phone (212) 734-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080118000463 NY Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5092896746 Reassigns benefits to 3 organizations
I20151021002958 NJ Practitioner - Thoracic SurgeryPractitioner - General Surgery 5092896746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Cardiac Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245609NYMDLicensed Practical Nurse
212896MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Sep 15, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Apr 29, 2022 Accepting new patients
Barnabas Health Medical Group, PC CurrentSince Jul 26, 2017 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Feb 23, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Sep 15, 2017 Accepting new patients
Nbimc Department of Cardio-Thoracic Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 5, 2015 Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Feb 1, 2023 Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

94 Old Short Hills Rd
Ste 1172
Livingston, NJ 07039
Phone (973) 322-2471

201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161

780 Route 37 W
Ste 120
Toms River, NJ 08755
Phone (732) 736-5694

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

2133 31st St
Astoria, NY 11105
Phone (929) 457-7650

8012 3rd Ave
Brooklyn, NY 11209
Phone (718) 491-5454

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

130 E 77th St
Fl 4
New York, NY 10075
Phone (212) 434-3000

170 William St
Fl 4
New York, NY 10038
Phone (212) 312-5255

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: spaul4776190@nychhc.direct-ci.com
  • Direct secure messaging: spaul65033@northwell.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1275648933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-734-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-734-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "SUBROTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-01-03",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "212896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.