VISWANATHAN BALACHANDAR (NPI# 1689627721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689627721 |
| Entity Type | Individual |
| Full Name | VISWANATHAN BALACHANDAR |
| Credential | MD |
| Practice Address |
350 S Broadway Hicksville NY 11801-5006 |
| Mailing Address |
55 Water Street 2nd Floor Cred Dept New York NY 10041-0004 |
| Practice Telephone | 5169380100 |
| Practice Fax Number | 5169380120 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 115951 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
115951 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00275049 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 640 Hawkins Ave, Lake Ronkonkoma, NY 117792324 | 6317370100 | 6314711117 |
| Street Address |
350 S BROADWAY |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149855 | Dominic Fiorenza | Podiatrist | 350 S Broadway, Hicksville, NY 11801-5006 | 2005-07-27 |
| 1295143287 | Athina Doulaveris | Optometrist | 350 S Broadway, Hicksville, NY 11801-5006 | 2014-07-23 |
| 1134541733 | Ajay Balladin | Nurse Practitioner | 350 S Broadway, Hicksville, NY 11801-5006 | 2014-01-16 |
| 1093099236 | Leili Iranmanesh | Physical Therapist | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-10-06 |
| 1437446705 | Miriam Riaz | Family Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-07-07 |
| 1437455268 | Nadia Qadri | Obstetrics & Gynecology | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-01-26 |
| 1053615914 | Valerie Rabinovich | Obstetrics & Gynecology | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-01-06 |
| 1851607352 | Anthony Joy Camacho | Physical Therapist | 350 S Broadway, Hicksville, NY 11801-5006 | 2010-08-23 |
| 1073833851 | Zena Hassan | Internal Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2010-06-03 |
| 1477789667 | Eric David Blacher | Family Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2009-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771990 | Larisa Anatolievna Rusyn | Pediatrics | 462 1st Ave Rm 8w52, New York, NY 10016-9196 | 2011-08-07 |
| 1285920314 | Yelena Kogelman | Pediatrics | 6701 Bay Pkwy, Brooklyn, NY 11204-4749 | 2011-06-27 |
| 1326346917 | Chitra Sekaran | Pediatrics | 2 Stonytown Rd, Manhasset, NY 11030-1118 | 2011-03-05 |
| 1497908826 | Bronx Pediatrics, PC | Pediatrics | 2869 Grand Concourse Ste 1, Bronx, NY 10468-1966 | 2008-10-29 |
| 1699927228 | Holly Caren Schachner | Pediatrics | 7 Winslow Pl, Larchmont, NY 10538-2612 | 2008-10-14 |
| 1427212612 | Loretta Iazzetti | Pediatrics | Box 1616, One Gustave Levy Place, New York, NY 10029 | 2008-07-16 |
| 1952565228 | Sofia Shapiro | Pediatrics | 192 Rte 117 Bypass Road, Mount Kisco Medical Group, PC, Bedford Hills, NY 10507-2146 | 2008-07-15 |
| 1528183480 | Queens Endocrinology Partners | Pediatrics | 9320 Roosevelt Ave # A, 2nd Fl, Jackson Heights, NY 11372-7904 | 2007-03-20 |
| 1548396914 | Elka E. Jacobson | Pediatrics | 445 Lenox Road Box 49, Suny Downstate Medical Center Pediactrics, Brooklyn, NY 11203 | 2007-02-27 |
| 1275695298 | Paul Saenger | Pediatrics | 150 Lockwood Ave Ste 34, New Rochelle, NY 10801-4914 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.