Individual provider Active NPI

Bhanu Aluri-Vallabhaneni, MD

  • Diagnostic Radiology Physician
  • Paterson, NJ
National Provider Identifier
1881681476
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07130900 Issued in NJ
Practice address
703 Main St
Paterson, NJ 07503-2621
Phone
(973) 754-2645
NPI assigned
Sep 29, 2005
Last updated
Sep 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA07130900 NJ Primary

Addresses

Primary practice location

703 Main St
Paterson, NJ 07503-2621

Mailing address

PO Box 9132
Att:Sharon Silva
Brookline, MA 02446-9132
Phone (800) 927-0002

Other identifiers 1

IdentifierTypeStateIssuer
7644906MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000220 NJ Practitioner - Diagnostic Radiology 1456347061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Subspecialists of North Jersey LLCGroup PAC ID 3577558378, 31 clinicians

Practice addresses (Care Compare)

1135 Broad St
Suite 4
Clifton, NJ 07013-3346
Phone (973) 569-6300

703 Main St
Paterson, NJ 07503-2621
Phone (973) 569-2621

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.56 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07130900NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Dec 1, 2004 Accepting new patients
Personal Touch Radiology, LLC Diagnostic Radiology CurrentSince Nov 29, 2024 Accepting new patients
South Mountain Imaging Diagnostic Radiology PastSince Nov 29, 2024 Accepting new patients
Edison Radiology Group PA JFK Medical Center Diagnostic Radiology PastSince May 9, 2021 Accepting new patients
Monmouth Medical Imaging, PA Diagnostic Radiology Past Accepting new patients
Edison Imaging Associates, PA Past Accepting new patients
Trustees of Columbia University in the City of New York Past Accepting new patients

Locations

680 Broadway
Ste 111
Paterson, NJ 07514
Phone (908) 284-2300

703 Main St
Paterson, NJ 07503
Phone (973) 754-2240

Interoperability endpoints

  • Direct secure messaging: balurivallabhaneni201207@ahs.direct-ci.com

Organizations & group practices 7

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 1

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1881681476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9132",
            "address_2": "ATT:SHARON SILVA",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469132",
            "telephone_number": "800-927-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALURI-VALLABHANENI",
        "first_name": "BHANU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA07130900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7644906",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

Verify at the official NPI Registry.