Queens Nephrology Practice, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

225128 Issued in NY

Legal business name

QUEENS NEPHROLOGY PRACTICE, PC

Practice address

16040 78TH Rd
3Rd Floor
Fresh Meadows, NY 11366-1945

Phone

(347) 475-0911

Fax

(718) 380-3441

NPI assigned

Jul 10, 2012

Last updated

Aug 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Narayan D Agrawal, M. D.NPI 1568438570

Title

President

Phone

(347) 475-0911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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.

• Narayan Das Agrawal, M.D.

  • Nephrology Physician
  • Fresh Meadows, NY
  • NPI 1568438570
  Medicare reassignment Care Compare group Authorized official
• Sakil Amin Bhuiyan, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1619473915
  Medicare reassignment Care Compare group NPD
• Anam Siddiqui

  • Nephrology Physician
  • Fresh Meadows, NY
  • NPI 1609266956
  Medicare reassignment Care Compare group NPD
• Qian Chen, NP

  • Nephrology Specialist/Technologist
  • Fresh Meadows, NY
  • NPI 1104396514
  Medicare reassignment NPD
• Fatima Sheikh, D.O

  • Nephrology Physician
  • East Setauket, NY
  • NPI 1255746855
  Medicare reassignment NPD
• Kristine Soltanpour, DO

  • Nephrology Physician
  • Scottsbluff, NE
  • NPI 1992066294

  NY

  Medicare reassignment NPD
• David Louis Epstein, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1225253834
  NPD

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1093070500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "address_2": "3RD FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661945",
            "telephone_number": "347-475-0911",
            "fax_number": "718-380-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "address_2": "3RD FLOOR",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661945",
            "telephone_number": "347-475-0911",
            "fax_number": "718-380-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NEPHROLOGY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "NARAYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-475-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "225128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02559795",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Py Physician Services LLC
• Niha Qamar, M.D.
• Queens Endoscopy ASC, LLC
• Queens Herald Community Corporation
• Queens Medical Associates PC
• Claudia Elisa Quijano, M.S EDUCATION
• Rachel Sisser MD PC
• Ilanit Rafaelov
• Joseph Tzvi Raff, M.S.E.D
• Humaira Rahman

• Nephrology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Aug 8, 2014; 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.