Medford Dialysis Access P.C.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MEDFORD DIALYSIS ACCESS P.C.

Practice address

3241 Route 112
BLDG #7
Medford, NY 11763-1434

Phone

(631) 732-4600

Fax

(631) 732-4656

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Purshotam Lal Nagwani, M.D.

Title

President/Owner

Phone

(631) 732-4600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205917804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HILLDALE RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115072214",
            "telephone_number": "516-640-5656",
            "fax_number": "516-640-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 ROUTE 112",
            "address_2": "BLDG #7",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631434",
            "telephone_number": "631-732-4600",
            "fax_number": "631-732-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDFORD DIALYSIS ACCESS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGWANI",
        "authorized_official_first_name": "PURSHOTAM",
        "authorized_official_middle_name": "LAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-732-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John McCarthy
• Kaitlin McGuire
• Sherry L. McPherson-Berg, LCSW-R
• Medford Chemists Inc.
• Medford Compounding & Specialty Pharmacy LLC
• Medford Hamlet, LLC
• Medford Volunteer Ambulance, Inc.
• Medivault Labs
• Laura Ruth Melilli, LPN
• Melissa Stockman Adult Care NP PC

• Vascular & Interventional Radiology Physician in Medford, NY
• Providers in Medford, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.