Active NPI
Sabhapathi Anasuya, M.D.
- Pediatric Adolescent Medicine Physician
- Bronx, NY
National Provider Identifier
1508916255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 192868
- Practice address
- 4234 Bronx Blvd
Pediatrics Clinic, Montefiore North Division
Bronx, NY 10466-1515 - Phone
- (347) 341-4303
- NPI assigned
- Jan 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 192868 | NY | Primary |
Addresses
Primary practice location
4234 Bronx Blvd
Pediatrics Clinic, Montefiore North Division
Bronx, NY 10466-1515
Mailing address
4234 Bronx Boulevard
Pediatrics Clinic, Montefiore North Division
Bronx, NY 10466-1515
Phone (347) 341-4303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243563 | Medicaid | NY |
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 |
|---|---|---|---|
| 192868 | NY | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265155200000",
"number": "1508916255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 BRONX BOULEVARD",
"address_2": "PEDIATRICS CLINIC, MONTEFIORE NORTH DIVISION",
"city": "BRONX",
"state": "NY",
"postal_code": "104661515",
"telephone_number": "347-341-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 BRONX BLVD",
"address_2": "PEDIATRICS CLINIC, MONTEFIORE NORTH DIVISION",
"city": "BRONX",
"state": "NY",
"postal_code": "104661515",
"telephone_number": "347-341-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANASUYA",
"first_name": "SABHAPATHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2010-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "192868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243563",
"state": "NY"
}
],
"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 Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.