Eastern Suffolk Nephrology, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

143580 Issued in NY

Legal business name

EASTERN SUFFOLK NEPHROLOGY, PC

Practice address

758 Harrison Ave
Riverhead, NY 11901-2744

Phone

(631) 727-5112

Fax

(631) 727-9061

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Purshotam Nagwani, MD

Title

MD

Phone

(631) 727-5112

Specialties & licenses 1

Addresses

Other names 1

• PURSHOTAM NAGWANI, MD Other name

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1174602189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 HARRISON AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012744",
            "telephone_number": "631-727-5112",
            "fax_number": "631-727-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 HARRISON AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012744",
            "telephone_number": "631-727-5112",
            "fax_number": "631-727-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SUFFOLK NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "NAGWANI",
        "authorized_official_first_name": "PURSHOTAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-727-5112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "143580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURSHOTAM NAGWANI, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nephrology Physician in Riverhead, NY
• Providers in Riverhead, 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 Jun 18, 2008; 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.