Kanchana Bala MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07605600 Issued in NJ

Legal business name

KANCHANA BALA MD LLC

Practice address

6 Walter CT
Rutherford, NJ 07070-2558

Phone

(201) 893-2939

Fax

(201) 460-0770

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Kanchana Balasubramanian, M.DNPI 1780626143

Title

President

Phone

(201) 893-2939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanchana Balasubramanian, M.D

  • Internal Medicine Physician
  • Rutherford, NJ
  • NPI 1780626143
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1952442329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WALTER CT",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702558",
            "telephone_number": "201-893-2939",
            "fax_number": "201-460-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WALTER CT",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702558",
            "telephone_number": "201-893-2939",
            "fax_number": "201-460-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANCHANA BALA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "BALASUBRAMANIAN",
        "authorized_official_first_name": "KANCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-893-2939",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07605600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016497",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rikita Jodhani, DMD
• Joseph Thomas Johnson, DC
• Joint Health Physical Therapy
• JZV Center for Rehabilitation of the Upper Extremity, Inc
• Kathleen M Kaelin Wooton, M.D.
• Erin Kennedy, LAC
• Kenneth P Zaorski DMD PA
• Navjot Khinda, M.D.
• Junga Kim
• Katie Kim, NP

• Internal Medicine Physician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.