Provider Demographics
NPI:1932398013
Name:SUBRAMONI PHYSICIANS ASSOCIATES PA
Entity Type:Organization
Organization Name:SUBRAMONI PHYSICIANS ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:V
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAMONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-890-9191
Mailing Address - Street 1:2091 KLOCKNER RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:609-890-9191
Mailing Address - Fax:609-586-6163
Practice Address - Street 1:2091 KLOCKNER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:609-890-9191
Practice Address - Fax:609-586-6163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0113737001OtherAMERIHEALTH
NJ1756508Medicaid
P2043109OtherOXFORD
080002864OtherMEDICARE RAILROAD
526628Medicare PIN