Individual provider Active NPI

Vaughn W Folkert, MD

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1245320084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
131685 Issued in NY
Practice address
Montefiore Medical Park
1515 Blondell Avenue, Ste. 220
Bronx, NY 10461
Phone
(866) 633-8255
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 131685 NY Primary

Addresses

Primary practice location

Montefiore Medical Park
1515 Blondell Avenue, Ste. 220
Bronx, NY 10461

Mailing address

701 Pelham Rd Apt 4E
New Rochelle, NY 10805-1122
Phone (866) 633-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315001202 NY Practitioner - Nephrology 0143275859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131685NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Nephrology CurrentSince Jan 1, 2006 Accepting new patients
Pittsburgh Kidney Care, LLC Nephrology Current Accepting new patients
Pittsburgh Kidney Care LLC Nephrology Current Accepting new patients
New York Dialysis Services, Inc. PastSince Jan 1, 2000 Accepting new patients

Locations

1325 Morris Park Ave
Bronx, NY 10461
Phone (718) 597-2255

111 E 210th St
#9
Bronx, NY 10467
Phone (718) 920-5442

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

1515 Blondell Ave
Ste 220
Bronx, NY 10461
Phone (718) 405-8140

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245320084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PELHAM RD APT 4E",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051122",
            "telephone_number": "866-633-8255",
            "fax_number": "718-405-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONTEFIORE MEDICAL PARK",
            "address_2": "1515 BLONDELL AVENUE, STE. 220",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "866-633-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKERT",
        "first_name": "VAUGHN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "131685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.