Madhavarao Subbarao, MDFACA

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

24433 Issued in NJ

Practice address

6 Eton Court
Paramus, NJ 07652-5536

Phone

(201) 967-5967

Fax

(201) 967-5967

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639399850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ETON COURT",
            "address_2": "POB 1785",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525536",
            "telephone_number": "201-967-5967",
            "fax_number": "201-967-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ETON COURT",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525536",
            "telephone_number": "201-967-5967",
            "fax_number": "201-967-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBARAO",
        "first_name": "MADHAVARAO",
        "name_prefix": "Mr.",
        "credential": "MDFACA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "24433",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "110484",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "036495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.