Active NPI
Srino Bharam MD PC
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
National Provider Identifier
1649354903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 203659
- Legal business name
- SRINO BHARAM MD PC
- Practice address
- 130 E. 77TH St
8 FL Black Hall
New York, NY 10075 - Phone
- (212) 691-3535
- Fax
- (212) 691-6370
- NPI assigned
- Oct 24, 2006
- Last updated
- Aug 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Srino Bharam, MD PC
- Title
- President
- Phone
- (212) 691-3535
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 203659 | NY | Primary |
Addresses
Primary practice location
130 E. 77TH St
8 FL Black Hall
New York, NY 10075
Mailing address
130 E. 77TH St
8 FL Black Hall
New York, NY 10075
Phone (212) 691-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02426126 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408924800000",
"number": "1649354903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 E. 77TH ST",
"address_2": "8 FL BLACK HALL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-691-3535",
"fax_number": "212-691-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E. 77TH ST",
"address_2": "8 FL BLACK HALL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10075",
"telephone_number": "212-691-3535",
"fax_number": "212-691-6370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRINO BHARAM MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2014-08-25",
"status": "A",
"authorized_official_last_name": "BHARAM",
"authorized_official_first_name": "SRINO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-691-3535",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PC"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "203659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02426126",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.