Queens Nephrology Care PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

212787 Issued in NY

Legal business name

QUEENS NEPHROLOGY CARE PC

Practice address

10833 70TH Rd
Forest Hills, NY 11375-3931

Phone

(718) 261-8563

NPI assigned

Nov 14, 2006

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

Ljubisa Micic

Title

Director Officer

Phone

(718) 261-8563

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Dayanand V. Huded, M.D.

  • Nephrology Physician
  • Jackson Heights, NY
  • NPI 1801844634
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033281472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 70TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753931",
            "telephone_number": "718-261-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 70TH RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753931",
            "telephone_number": "718-261-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEPHROLOGY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICIC",
        "authorized_official_first_name": "LJUBISA",
        "authorized_official_title_or_position": "DIRECTOR OFFICER",
        "authorized_official_telephone_number": "718-261-8563"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "212787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01894586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queens Hematology Oncology PC
• Queens Medical Imaging, PC
• Queens Medical Imaging, PC
• Queens Medical of New York LLC
• Queens Medical Pavilion,LLC (Ny Med)
• Queens Physical Therapy Associates LLP
• Queens Professional Medical Services of New York LLC
• Emelyn C Quijano, MD
• Lourdes F Quijano, M.S.,CCC-SLP
• Liana Quiles

• Specialist in Forest Hills, NY
• Providers in Forest Hills, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.