Organization Active NPI

Frumkin Nephrology Associates PC

  • Nephrology Physician
  • Rego Park, NY
National Provider Identifier
1063474930
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FRUMKIN NEPHROLOGY ASSOCIATES PC
Practice address
9715 64TH Rd Lowr Level
Rego Park, NY 11374-2250
Phone
(718) 830-3333
Fax
(718) 830-3722
NPI assigned
Apr 5, 2006
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dalia FrumkinNPI 1164484135
Title
MD
Phone
(718) 830-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

9715 64TH Rd Lowr Level
Rego Park, NY 11374-2250

Mailing address

30 E 37TH St Apt M
New York, NY 10016-3019
Phone (718) 830-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090210000379 NY Part B Supplier - Clinic/Group Practice 0840246526 Receives reassigned benefits from 2 practitioners
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Locations

10025 Queens Blvd
Ste 1N
Forest Hills, NY 11375
Phone (718) 459-5900

12320 82nd Ave
Unit La
Kew Gardens, NY 11415
Phone (718) 830-3333

30 E 37th St
Apt M
New York, NY 10016

9715 64th Rd
Lowr
Rego Park, NY 11374
Phone (718) 830-3333

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1063474930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 37TH ST APT M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163019",
            "telephone_number": "718-830-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 64TH RD LOWR LEVEL",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742250",
            "telephone_number": "718-830-3333",
            "fax_number": "718-830-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUMKIN NEPHROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "FRUMKIN",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-830-3333"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.