Individual provider Active NPI

Meera Balasubramaniam

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1437392453
Registry record updated Dec 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
270335 Issued in NY
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20130723000844 NY Practitioner - Psychiatry 1355582099 Reassigns benefits to 1 organization
I20220623001076 NJ Practitioner - Psychiatry 1355582099 Reassigns benefits to 1 organization

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
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

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

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Dec 9, 2024 Accepting new patients
New York University CurrentSince Dec 9, 2024 Accepting new patients
Princeton House Provider Group LLC Psychiatry CurrentSince Jul 11, 2022 Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation PastSince Jul 11, 2022 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.

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

Verify at the official NPI Registry.