Organization Active NPI

Mala Murthy Balakumar MD PC

  • Colon & Rectal Surgery Physician
  • New Rochelle, NY
National Provider Identifier
1679500508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
193074 Issued in NY
Legal business name
MALA MURTHY BALAKUMAR MD PC
Practice address
140 Lockwood Ave
Suite 216
New Rochelle, NY 10801-4915
Phone
(516) 801-2288
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mala Murthy Balakumar
Title
President/Director
Phone
(516) 801-2288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X 193074 NY Primary

Addresses

Primary practice location

140 Lockwood Ave
Suite 216
New Rochelle, NY 10801-4915

Mailing address

56 Shadetree LN
Roslyn Heights, NY 11577-2503
Phone (516) 801-2288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679500508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SHADETREE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772503",
            "telephone_number": "516-801-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE",
            "address_2": "SUITE 216",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "516-801-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALA MURTHY BALAKUMAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALAKUMAR",
        "authorized_official_first_name": "MALA",
        "authorized_official_middle_name": "MURTHY",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "516-801-2288",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "193074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.