Active NPI
Meera Balasubramaniam
- Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 270335
- Practice address
- 1 Park Ave
NYU Behavioral Health Clinic
New York, NY 10016-5802 - Phone
- (443) 668-8012
- NPI assigned
- Apr 7, 2009
- Last updated
- Dec 22, 2013
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 270335 | NY | Primary |
Addresses
Primary practice location
1 Park Ave
NYU Behavioral Health Clinic
New York, NY 10016-5802
Mailing address
35 River Dr S
Apartment 1208
Jersey City, NJ 07310-3798
Phone (443) 668-8012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Princeton House Provider Group LLC | Psychiatry | Current | Accepting new patients |
| Princeton Healthcare System, a New Jersey Non-Profit Corporation | Past | Accepting new patients |
Locations
993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648
1460 Livingston Ave
Bldg 100
North Brunswick, NJ 08902
Phone (732) 729-3600
905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
111 Broadway
Fl 2
Trinity, NY 10006
Phone (212) 263-9700
Organizations & group practices 4
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 NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Psychiatry Physician
- Princeton, NJ
- NPI 1881078681
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
dba Penn Medicine Princeton House Behavioral Health
- Psychiatric Hospital Unit
- Princeton, NJ
- NPI 1518009588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387670400000",
"number": "1437392453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 RIVER DR S",
"address_2": "APARTMENT 1208",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073103798",
"telephone_number": "443-668-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK AVE",
"address_2": "NYU BEHAVIORAL HEALTH CLINIC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165802",
"telephone_number": "443-668-8012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASUBRAMANIAM",
"first_name": "MEERA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2013-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "270335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.