Active NPI
Ny Kidney Hypertension, PLLC
- Nephrology Physician
- Bronx, NY
National Provider Identifier
1063685436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 211368
- Legal business name
- NY KIDNEY HYPERTENSION, PLLC
- Practice address
- 3322 Bainbridge Ave
Bronx, NY 10467-2849 - Phone
- (718) 881-2100
- Fax
- (718) 881-5164
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Micheal R. Guccione, MD
- Title
- President
- Phone
- (718) 881-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 211368 | NY | Primary |
Addresses
Primary practice location
3322 Bainbridge Ave
Bronx, NY 10467-2849
Mailing address
PO Box 1042
Ridgefield, CT 06877-9042
Phone (718) 881-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02560850 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Bronx, NY
- NPI 1902893340
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1407913528
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1043273071
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1912977596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350518400000",
"number": "1063685436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1042",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068779042",
"telephone_number": "718-881-2100",
"fax_number": "718-881-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3322 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672849",
"telephone_number": "718-881-2100",
"fax_number": "718-881-5164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY KIDNEY HYPERTENSION, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2012-10-18",
"status": "A",
"authorized_official_last_name": "GUCCIONE",
"authorized_official_first_name": "MICHEAL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-881-2100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "211368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02560850",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
- Ny Comprehensive Medical Wellness P.C.
- Ny Drugs Inc (Castle Hill Community Pharmacy)
- Ny Drugs Inc
- Ny Family Medicine Associates, PC
- Ny Family Orthodontics P.C.
- Ny Metro Dental, PC (Concerned Dental Care of Bronx)
- Ny Metro Sleep Medical, P.C.
- Ny Mind Body NP in Psychiatry P.C.
- Ny Minute Car Service Inc.
- Ny Pain Practice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.