Organization Active NPI

Bal M Nemani M.D.

  • Psychiatry Physician
  • Binghamton, NY
National Provider Identifier
1730116047
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
115779 Issued in NY
Legal business name
BAL M NEMANI M.D.
Practice address
80 Oak St
Binghamton, NY 13905-4625
Phone
(607) 722-6633
Fax
(607) 722-4629
NPI assigned
Jun 26, 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
Bal M Nemani, M.D.
Title
Owner
Phone
(607) 722-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 115779 NY Primary

Addresses

Primary practice location

80 Oak St
Binghamton, NY 13905-4625

Mailing address

80 Oak St
Binghamton, NY 13905-4625
Phone (607) 722-6633

Other identifiers 1

IdentifierTypeStateIssuer
00533500MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730116047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054625",
            "telephone_number": "607-722-6633",
            "fax_number": "607-722-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OAK ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054625",
            "telephone_number": "607-722-6633",
            "fax_number": "607-722-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAL M NEMANI M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMANI",
        "authorized_official_first_name": "BAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-722-6633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "115779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00533500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, 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.