Individual provider Active NPI

Srividhya Subbarayan, M.D.

  • Internal Medicine Physician
  • Edison, NJ
National Provider Identifier
1548297971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07067800 Issued in NJ
Practice address
78 Harding Ave
Edison, NJ 08820-2524
Phone
(732) 494-8442
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07067800 NJ Primary

Addresses

Primary practice location

78 Harding Ave
Edison, NJ 08820-2524

Mailing address

78 Harding Ave
Edison, NJ 08820-2524
Phone (732) 494-8442

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000407 NJ Practitioner - Internal Medicine 5991772436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

666 Plainsboro Rd
Suite 2000B
Plainsboro, NJ 08536-3048
Phone (609) 799-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Srividhya Subbarayan M D Professional Association Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients

Locations

666 Plainsboro Rd
Ste 2000B
Plainsboro, NJ 08536
Phone (609) 799-1100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548297971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 HARDING AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202524",
            "telephone_number": "732-494-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 HARDING AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202524",
            "telephone_number": "732-494-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBARAYAN",
        "first_name": "SRIVIDHYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07067800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.