Individual provider Active NPI

Subhanir Sunil Chitnis

  • Emergency Medicine Physician
  • Newark, NJ
National Provider Identifier
1801152939
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T1324 Issued in TX
Practice address
30 Bergen St
Admc 11, Room 1110
Newark, NJ 07107-3000
Phone
(518) 229-9083
NPI assigned
Apr 3, 2012
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 282312 NY
Emergency Medicine Physician 207P00000X T1324 TX Primary

Addresses

Primary practice location

30 Bergen St
Admc 11, Room 1110
Newark, NJ 07107-3000

Mailing address

30 Bergen St
Admc 11, Room 1110
Newark, NJ 07107-3000
Phone (518) 229-9083

Other practice location 1

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160531001199 NY Practitioner - Emergency Medicine 0648560821 Reassigns benefits to 1 organization
I20220202001658 TX Practitioner - Emergency Medicine 0648560821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Texas PAGroup PAC ID 7517289291, 57 clinicians
Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

10301 Gateway Blvd W
Del Sol Med Ctr
El Paso, TX 79925-7701
Phone (915) 595-9000

12101 Edgemere Blvd
El Paso, TX 79938-4746
Phone (915) 921-6610

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Wise Emergency Medicine Associates PA Emergency Medicine CurrentSince Sep 30, 2024 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Crouse Health Hospital Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

12101 Edgemere Blvd
El Paso, TX 79938
Phone (915) 832-2490

1535 N Resler Dr
El Paso, TX 79912
Phone (915) 231-1600

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1801152939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST",
            "address_2": "ADMC 11, ROOM 1110",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000",
            "telephone_number": "518-229-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST",
            "address_2": "ADMC 11, ROOM 1110",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000",
            "telephone_number": "518-229-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132031807",
            "country_code": "US",
            "telephone_number": "315-448-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHITNIS",
        "first_name": "SUBHANIR",
        "middle_name": "SUNIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "282312",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.