Premier Nephrology Services PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

202469 Issued in NY

Legal business name

PREMIER NEPHROLOGY SERVICES PC

Practice address

723 Remsen Ave
Brooklyn, NY 11236-1227

Phone

(718) 345-9106

Fax

(718) 261-1336

NPI assigned

Aug 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Stafford Desmond JohnNPI 1508842261

Title

President

Phone

(718) 345-9106

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stafford D John, MD

  • Nephrology Physician
  • Jackson Heights, NY
  • NPI 1508842261
  NPD (past) Authorized official

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1083992317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361227",
            "telephone_number": "718-345-9106",
            "fax_number": "718-261-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112361227",
            "telephone_number": "718-345-9106",
            "fax_number": "718-261-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEPHROLOGY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "STAFFORD",
        "authorized_official_middle_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-345-9106",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "202469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Anesthesia Services, PLLC
• Premier Dental,PC
• Premier Imaging Associates PLLC
• Premier Medical for Sport & Rehabilitation, P.C.
• Premier Medical Supplies Inc.
• Premier Pediatrics
• Premier Physicians of New York PLLC
• Premier Speech and Language Therapy, PC
• Premiere Brace & Limb Inc
• Premiere Podiatry PC

• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.