Active NPI
Lionel Barrau M.D. & Marc J. Yunis M.D.
- Nephrology Physician
- Queens Village, NY
National Provider Identifier
1013059930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 114445
- Legal business name
- LIONEL BARRAU M.D. & MARC J. YUNIS M.D.
- Practice address
- 22202 Hempstead Ave
Queens Village, NY 11429 - Phone
- (718) 217-6200
- Fax
- (718) 217-4191
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Yunis, MD
- Title
- Partner Medical Physician
- Phone
- (516) 488-0150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 114445 | NY | Primary |
Addresses
Primary practice location
22202 Hempstead Ave
Queens Village, NY 11429
Mailing address
30 Deer Path Road
Roslyn Heights, NY 11577-1602
Phone (516) 488-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00209518 | Medicaid | NY |
Other names 1
- KIDNEY ASSOCIATES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1013059930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 DEER PATH ROAD",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771602",
"telephone_number": "516-488-0150",
"fax_number": "516-326-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22202 HEMPSTEAD AVE",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "11429",
"telephone_number": "718-217-6200",
"fax_number": "718-217-4191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIONEL BARRAU M.D. & MARC J. YUNIS M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "YUNIS",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PARTNER MEDICAL PHYSICIAN",
"authorized_official_telephone_number": "516-488-0150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "114445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00209518",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "KIDNEY ASSOCIATES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Queens Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.