Organization Active NPI

Jericho Nephrology PLLC

  • Nephrology Physician
  • Jericho, NY
National Provider Identifier
1215869276
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
JERICHO NEPHROLOGY PLLC
Practice address
14 Tioga Dr
Jericho, NY 11753-1930
Phone
(917) 302-3909
NPI assigned
Jun 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Mandeep Kaur, MDNPI 1568846657
Title
Owner
Phone
(917) 302-3909

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: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

14 Tioga Dr
Jericho, NY 11753-1930

Mailing address

14 Tioga Dr
Jericho, NY 11753-1930
Phone (917) 302-3909

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": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1215869276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TIOGA DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531930",
            "telephone_number": "917-302-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 TIOGA DR",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531930",
            "telephone_number": "917-302-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-302-3909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.