Active NPI
Subhashini Manjula Ayloo, M.D.
- Surgery Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD17356
- Practice address
- 2 Dudley St Ste 370
Providence, RI 02905-3248 - Phone
- (401) 228-0560
- Fax
- (401) 228-0636
- NPI assigned
- Aug 13, 2006
- Last updated
- Jul 22, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 036107630 | IL | |
| Surgery Physician | 208600000X | 036-107630 | IL | |
| Surgery Physician | 208600000X | MD17356 | RI | Primary |
Addresses
Primary practice location
2 Dudley St Ste 370
Providence, RI 02905-3248
Mailing address
PO Box 16149
Rumford, RI 02916-0697
Phone (401) 453-9625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-107630 | IL | MD | Surgery Physician |
| MD17356 | RI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Associates of New Jersey Inc | Transplant Surgery | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Current | Accepting new patients |
Locations
140 Bergen St
Bldg D1650
Newark, NJ 07103
30 Bergen St
Rm 1205
Newark, NJ 07107
Phone (973) 972-0037
90 Bergen St
Fl 7
Newark, NJ 07103
Phone (973) 972-5350
Organizations & group practices 2
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.
-
dba University Surgical Associates
- Surgery Physician
- Newark, NJ
- NPI 1639189236
Transplant Surgery
-
dba University Medical Associates
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1437161874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16149",
"city": "RUMFORD",
"state": "RI",
"postal_code": "029160697",
"telephone_number": "401-453-9625",
"fax_number": "401-435-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DUDLEY ST STE 370",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053248",
"telephone_number": "401-228-0560",
"fax_number": "401-228-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYLOO",
"first_name": "SUBHASHINI",
"middle_name": "MANJULA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "IL",
"license": "036107630",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036-107630",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "RI",
"license": "MD17356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.