Ban Al-Sunboli
Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Brooklyn, NY
NPI 1740804186 · NPPES record last updated Sep 3, 2025
Key facts
- NPI
- 1740804186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License
- 338753 (NY)
- Practice address
- 8714 5TH Ave
Brooklyn, NY 11209-5204 - Phone
- (718) 630-8600
- Fax
- (718) 630-8615
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Endocrinology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New York University
Practice addresses (Care Compare)
111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700
1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004
150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000
7316 13TH Ave
Brooklyn, NY 11228-2011
Phone (718) 630-1404
8714 5TH Ave
Brooklyn, NY 11209-5204
Phone (718) 630-8600
Hospital & facility affiliations
- NYU Langone Hospitals
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250910004636 | NY | Practitioner - Endocrinology | 0840793493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338753 | NY | MD | Family Nurse Practitioner |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients |
Locations
700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325
8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600
7316 13th Ave
Brooklyn, NY 11228
Phone (718) 630-1404
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- balsunboli756303@nyumc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 338753 | NY | Yes |
Addresses
Primary practice location
8714 5TH Ave
Brooklyn, NY 11209-5204
Mailing address
700 Hicksville Rd Ste 205
Bethpage, NY 11714-3472
Other providers in Brooklyn, NY
- Hanadi Al-Sawah
- Nadia M Al-Shafei
- Al-Shifa Dental Associates PC
- Al-Shifa Dental Associates, P.C.
- Al-Shifa Pharmacy Inc
- Srivarsha Ala
- Mohamad Yousef Mohammad Alabdallat
- Yusuff Alabi-Ajidagba
- Khaerat Alabi
- Olaitan Alabi
All providers in Brooklyn, NY · Endocrinology, Diabetes & Metabolism Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.