Organization Active NPI

Dara Huang MD Medical PLLC

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1154777282
Registry record updated May 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
250051 Issued in NY
Legal business name
DARA HUANG MD MEDICAL PLLC
Practice address
139 Centre St
Suite 515
New York, NY 10013-4552
Phone
(917) 364-4885
Fax
(917) 688-2444
NPI assigned
May 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2016

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

Authorized official

Name
Dr. Dara Huang, MDNPI 1245481555
Title
Physician
Phone
(917) 364-4885

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 250051 NY Primary

Addresses

Primary practice location

139 Centre St
Suite 515
New York, NY 10013-4552

Mailing address

399 E 78TH St
2D
New York, NY 10075-1383
Phone (646) 541-1181

Other identifiers 1

IdentifierTypeStateIssuer
03433410MedicaidNY

Other names 1

  • New York Culinary Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160525000548 NY Part B Supplier - Clinic/Group Practice 9133418569 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462665600000",
    "number": "1154777282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 78TH ST",
            "address_2": "2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751383",
            "telephone_number": "646-541-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE ST",
            "address_2": "SUITE 515",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134552",
            "telephone_number": "917-364-4885",
            "fax_number": "917-688-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARA HUANG MD MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-08",
        "last_updated": "2016-05-08",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-364-4885",
        "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": "250051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03433410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Culinary Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2016; 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.