Active NPI
Danielle Chayban Balasubramaniam, FNP
- Family Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1366072621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 345393
- Practice address
- Elm and Carlton St
Buffalo, NY 14263-0001 - Phone
- (716) 845-2300
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 345393 | NY | Primary |
Addresses
Primary practice location
Elm and Carlton St
Buffalo, NY 14263-0001
Mailing address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Other names 1
- Miss Danielle Chayban Balasubramaniam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345393 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Frank R. Laurri, M.D. & Associates, P.C. | Current | Accepting new patients | |
| Frank R. Laurri, M.D. & Associates, P.C. | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Past | Accepting new patients | |
| Gastrointestinal Group | Past | Accepting new patients |
Locations
Elm and Carlton St
Buffalo, NY 14263
Dept 8000
Buffalo, NY 14267
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
9097 Main St
Clarence, NY 14031
Phone (716) 222-0297
10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Niagara Falls, NY
- NPI 1548305519
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Registered Nurse
- Niagara Falls, NY
- NPI 1902563646
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1114977048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1366072621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASUBRAMANIAM",
"first_name": "DANIELLE",
"middle_name": "CHAYBAN",
"name_prefix": "Miss",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "345393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "BALASUBRAMANIAM",
"middle_name": "CHAYBAN",
"prefix": "MISS",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.