# SUBINPRARA MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538839378
- **Authorized official:** BINOD SHAH MD (PHYSICIAN)
- **Authorized official phone:** (914) 330-2818

## Contact information

- **Practice address:** 577 CHESTNUT RIDGE RD, WOODCLIFF LAKE, NJ 07677-8409
- **Practice address phone:** (914) 330-2818
- **Practice address fax:** (212) 888-6024
- **Mailing address:** 577 CHESTNUT RIDGE RD, WOODCLIFF LAKE, NJ 07677-8409
- **Mailing address phone:** (914) 330-2818
- **Mailing address fax:** (212) 888-6024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2021
- **Last updated:** 09/14/2021