Organization Active NPI

Dr Bala R.Subramanyam Radiology, PC

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1902853054
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DR BALA R.SUBRAMANYAM RADIOLOGY, PC
Practice address
650 1St Ave
New York, NY 10016-3240
Phone
(212) 448-9700
Fax
(212) 447-7640
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Bala R Subramanyam, M.D.
Title
President
Phone
(212) 448-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

650 1St Ave
New York, NY 10016-3240

Mailing address

650 1St Ave
New York, NY 10016-3240
Phone (212) 448-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1902853054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163240",
            "telephone_number": "212-448-9700",
            "fax_number": "212-447-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163240",
            "telephone_number": "212-448-9700",
            "fax_number": "212-447-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BALA R.SUBRAMANYAM RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANYAM",
        "authorized_official_first_name": "BALA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-448-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.