Active NPI
Krishnamurthy Balasubramanian, M.D.
- Pediatrics Physician
- Bronx, NY
National Provider Identifier
1487720330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 128139
- Practice address
- 348 E 156TH St
Bronx, NY 10451 - Phone
- (718) 292-2820
- Fax
- (718) 402-7996
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 128139 | NY | Primary |
Addresses
Primary practice location
348 E 156TH St
Bronx, NY 10451
Mailing address
72-39 Little Neck Parkway
Glen Oaks, NY 11004
Phone (718) 292-2820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128139 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487720330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72-39 LITTLE NECK PARKWAY",
"city": "GLEN OAKS",
"state": "NY",
"postal_code": "11004",
"telephone_number": "718-292-2820",
"fax_number": "718-402-7996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 E 156TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-292-2820",
"fax_number": "718-402-7996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALASUBRAMANIAN",
"first_name": "KRISHNAMURTHY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "128139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.