Nyc Internal Medicine and Nephrology, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

197128 Issued in NY

Legal business name

NYC INTERNAL MEDICINE AND NEPHROLOGY, PC

Practice address

3131 Kings Hwy
Suite B8
Brooklyn, NY 11234-2644

Phone

(718) 377-2327

Fax

(718) 377-3948

NPI assigned

Feb 8, 2008

Last updated

Mar 4, 2010By 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. Suzannah Deborah Berlyne, M.D.

Title

President

Phone

(718) 377-2327

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1043498330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OCEANA DR E",
            "address_2": "APT 3H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356691",
            "telephone_number": "718-377-2327",
            "fax_number": "718-377-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 KINGS HWY",
            "address_2": "SUITE B8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112342644",
            "telephone_number": "718-377-2327",
            "fax_number": "718-377-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC INTERNAL MEDICINE AND NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "BERLYNE",
        "authorized_official_first_name": "SUZANNAH",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-377-2327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "197128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.