S.N.Medical PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

113659 Issued in NY

Legal business name

S.N.MEDICAL PLLC

Practice address

121 Dekalb Ave
Suite 11E
Brooklyn, NY 11201-5425

Phone

(718) 250-8866

Fax

(718) 250-8931

NPI assigned

May 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Balakrishna Nuli, M.DNPI 1730191636

Title

President

Phone

(718) 250-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Balakrishna Nuli, MD

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1730191636
  NPD (past) Authorized official
• Sarma V Ponnapalli, M.D

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1457360653
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386855815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RODEO DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912209",
            "telephone_number": "516-921-8150",
            "fax_number": "718-250-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "SUITE 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8866",
            "fax_number": "718-250-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.N.MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NULI",
        "authorized_official_first_name": "BALAKRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-250-8992",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "113659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00207070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• S.Leonard Edelstein
• S.P.Clothing LLC
• S.R. Dental (Best Dental)
• S.S.H. & Company LLC
• S.S.H. OT LLC
• S&E Drugs,Inc. (Five Star Pharmacy)

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery 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.