Active NPI
Dibya Subedi, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1972952745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 298075
- Practice address
- 181 E 65TH St
New York, NY 10065-6642 - Phone
- (212) 321-7002
- Fax
- (212) 867-4353
- NPI assigned
- Jun 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT210350 | PA | |
| Pediatrics Physician | 208000000X | 298075 | NY | Primary |
Addresses
Primary practice location
181 E 65TH St
New York, NY 10065-6642
Mailing address
129 W 29TH St FL 10
New York, NY 10001-5105
Phone (415) 658-6791
Other practice location 1
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT210350 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Overton, Wiley, Kirchmier, Terry, & Rowe, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Adolescent Medicine Physician
- Richmond, VA
- NPI 1558457895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1972952745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W 29TH ST FL 10",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015105",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 E 65TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656642",
"telephone_number": "212-321-7002",
"fax_number": "212-867-4353"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-1220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUBEDI",
"first_name": "DIBYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-12",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT210350",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "298075",
"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 Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.