Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kanchana Balasubramanian, MD

Individual provider Internal Medicine Physician · NPI 1780626143

Dr. Kanchana Balasubramanian, MD is a General Practice in Rutherford, New Jersey. Qualified in 1993, 33 years ago. Practices with Preventive and Diagonostic Medical Center PA, a 3-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
33
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6 Walter Ct
Rutherford, NJ 07070-2558
Phone: (201) 893-2939
Fax: (201) 460-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA07605600 (NJ)

Record details

NPI number1780626143
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2006
Last updated in NPPESFebruary 2, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Preventive And Diagonostic Medical Center P.A. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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