Long Island Kidney Care PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

LONG ISLAND KIDNEY CARE PC

Practice address

901 Stewart Ave Ste 204
Garden City, NY 11530-4883

Phone

(516) 261-9988

Fax

(516) 612-0071

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mohsen Pahlavan, MDNPI 1518945310

Title

Owner

Phone

(516) 261-9988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohsen Pahlavan, MD

  • Nephrology Physician
  • Plainview, NY
  • NPI 1518945310
  Medicare reassignment NPD Authorized official
• Maqsood Sadiq

  • Adult Health Nurse Practitioner
  • Plainview, NY
  • NPI 1538701156
  Medicare reassignment NPD
• Ashok N Vaswani, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Middletown, NY
  • NPI 1205848025
  NPD (past)

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1063190064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BEECH TREE LN",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115453150",
            "telephone_number": "516-261-9988",
            "fax_number": "516-612-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE STE 204",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304883",
            "telephone_number": "516-261-9988",
            "fax_number": "516-612-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1097 Old Country Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118036505",
            "country_code": "US",
            "telephone_number": "516-261-9988",
            "fax_number": "516-612-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND KIDNEY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "PAHLAVAN",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-261-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Lobodzic, PT, DPT
• Jeffrey A Loewy, DO
• Mary C Logan, OTR
• Zhanna Logman, MD
• Long Island Behavioral Health Psychological Office
• Long Island Mohs Surgery PC
• Long Island Pediatrics of Garden City
• Long Island Plastic Surgical Group, PC
• Long Island Primary Medical Care PC
• Long Island Primary Medical Care/Dba Village Pediatrics

• Nephrology Physician in Garden City, NY
• Providers in Garden City, 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 Jul 10, 2023; 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.