Alan L Nissenbaum Medical Services, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

177636 Issued in NY

Legal business name

ALAN L NISSENBAUM MEDICAL SERVICES, PC

Practice address

2514 E 65TH St
Brooklyn, NY 11234-6927

Phone

(718) 998-7592

Fax

(718) 444-2834

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan Leon Nissenbaum, MD

Title

Ceo

Phone

(718) 998-7592

Specialties & licenses 1

Addresses

Tax ID family

Alan L Nissenbaum Medical Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alan L Nissenbaum Medical Services PC

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1528254067
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1053455998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 E 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346927",
            "telephone_number": "718-998-7592",
            "fax_number": "718-444-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 E 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346927",
            "telephone_number": "718-998-7592",
            "fax_number": "718-444-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN L NISSENBAUM MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "NISSENBAUM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-998-7592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "177636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Goldman MD Steven C Tawil MD PC
• Alan J Dayan M D P C
• Alan J. Rosen, DPM, PC
• Alan Jordan, M.D., P.C.
• Alan L Nissenbaum Medical Services PC
• Alan Medical Group, P.a.
• Alan Newmark, DPM
• Alan R Minkoff OD
• Alan Tajerstein M D
• Alan Tajerstein MD

• 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 Apr 8, 2014; 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.