Organization Active NPI

South Queens Nephrology Asso

  • Nephrology Physician
  • Jackson Heights, NY
National Provider Identifier
1003809245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SOUTH QUEENS NEPHROLOGY ASSO
Practice address
34-35 70TH Street
Jackson Heights, NY 11372
Phone
(718) 651-9700
Fax
(718) 533-0264
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Evelyn Ruzol Amarga, MD
Title
Nephrology
Phone
(718) 651-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

34-35 70TH Street
Jackson Heights, NY 11372

Mailing address

175-37 Liberty Ave
Jamaica, NY 11433-1325
Phone (718) 297-9100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003809245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175-37 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331325",
            "telephone_number": "718-297-9100",
            "fax_number": "718-297-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-35 70TH STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-651-9700",
            "fax_number": "718-533-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH QUEENS NEPHROLOGY ASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMARGA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "RUZOL",
        "authorized_official_title_or_position": "NEPHROLOGY",
        "authorized_official_telephone_number": "718-651-9700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.