Balakrishna Nuli, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

113659 Issued in NY

Practice address

240 Willouahby St
Suite 11E
Brooklyn, NY 11791

Phone

(718) 250-8866

Fax

(718) 250-6703

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S.N.Medical PLLC

  • Surgery Physician
  • Brooklyn, NY
  • NPI 1386855815
  NPD (past) Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730191636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RODEO DRIVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "917-374-7004",
            "fax_number": "718-250-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUAHBY ST",
            "address_2": "SUITE 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "718-250-8866",
            "fax_number": "718-250-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NULI",
        "first_name": "BALAKRISHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "113659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00207070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew James Nugent
• Polly J Nugent, LMSW
• Sylvester Nugent
• Raihana Nuhu
• Agun Nukaya, B. MED,
• Mubaraka Moiez Nullwala, P.T.
• Tova Bayla Nulman, MS, ED
• Lakshmi Priya Nulu, MD, FAAP
• Anette Numa
• Carline Numa, LMSW

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.