Sabu John & Mary Mallappallil Physician P.C

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

217897 Issued in NY

Legal business name

SABU JOHN & MARY MALLAPPALLIL PHYSICIAN P.C

Practice address

322 Linden Blvd
Brooklyn, NY 11226

Phone

(718) 282-0801

Fax

(718) 282-8284

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Sabu John, M.DNPI 1386611531

Title

M.D

Phone

(917) 407-7898

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9769/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabu John, M.D

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1386611531

  Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1821312083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 ALBANY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033002",
            "telephone_number": "718-282-0801",
            "fax_number": "718-282-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11226",
            "telephone_number": "718-282-0801",
            "fax_number": "718-282-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABU JOHN & MARY MALLAPPALLIL PHYSICIAN P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "SABU",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "917-407-7898",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217897",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "217897",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "217897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabra Pharmacy LLC
• Amena A Sabra, B.S IN PHARMACY
• Mohamed Sabra, MD
• Samira Laila Sabra
• Sarah Sabra
• Jacob Sabu, MD, MPH
• Salimol Mekkattil Sabu, FNP
• Iqbal Ashraf Sabuhi, RPH
• Kettelie Saby
• Mona Saby

• Cardiovascular Disease Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.