Nephrology Services Medical Group of Olean & Bradford, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

193890-1 Issued in NY

Legal business name

NEPHROLOGY SERVICES MEDICAL GROUP OF OLEAN & BRADFORD, PC

Practice address

623 Main St
Olean, NY 14760-1515

Phone

(716) 372-4212

Fax

(716) 373-9167

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muhammed T Javed, MDNPI 1356309405

Title

Owner

Phone

(716) 372-4212

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammed Tahir Javed, M.D.

  • Specialist
  • Olean, NY
  • NPI 1356309405

  PA

  Medicare reassignment Authorized official
• Brielle Lauren Cornelius

  • Nurse Practitioner
  • Olean, NY
  • NPI 1285360313
  Medicare reassignment NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023164571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147600583",
            "telephone_number": "716-372-4212",
            "fax_number": "716-373-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601515",
            "telephone_number": "716-372-4212",
            "fax_number": "716-373-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY SERVICES MEDICAL GROUP OF OLEAN & BRADFORD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-372-4212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "193890-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02353684",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01452253",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01546870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara N Neal, DPT
• Kathleen Anne Neeson, RN
• Lynn Marie Neeson, PT, DPT
• Jill Diane Nelson, PA-C
• Kathryn Anne Nelson, PA
• Jennifer Neu
• Tam H Ngo
• Muhammad Obaid Niaz, MD
• Kristen Nodler
• Brandy Jane Nolder, RN

• Specialist in Olean, NY
• Providers in Olean, NY by specialty
• Specialist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.