Organization Active NPI

Subbarao Bhimani MD PC

  • Neurology Physician
  • Plainview, NY
National Provider Identifier
1710300421
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
237173 Issued in NY
Legal business name
SUBBARAO BHIMANI MD PC
Practice address
998 Old Country Rd Ste C
Ste 284
Plainview, NY 11803-4936
Phone
(631) 465-9333
Fax
(631) 465-9333
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Diane D'Angelo
Title
Billing MGR
Phone
(631) 465-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 237173 NY Primary

Addresses

Primary practice location

998 Old Country Rd Ste C
Ste 284
Plainview, NY 11803-4936

Mailing address

998 Old Country Rd Ste C
Ste 284
Plainview, NY 11803-4936
Phone (631) 465-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140414001923 NY Part B Supplier - Clinic/Group Practice 1052543667 Receives reassigned benefits from 1 practitioner
Practice locations: Bethpage, NY

National Provider Directory

National Provider Directory

Locations

998 Old Country Rd
Ste C
Plainview, NY 11803
Phone (516) 390-4347

998 Old Country Rd
Ste 284
Plainview, NY 11803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1710300421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 OLD COUNTRY RD STE C",
            "address_2": "STE 284",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034936",
            "telephone_number": "631-465-9333",
            "fax_number": "631-465-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 OLD COUNTRY RD STE C",
            "address_2": "STE 284",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034936",
            "telephone_number": "631-465-9333",
            "fax_number": "631-465-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBARAO BHIMANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "631-465-9333"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "237173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.