South Queens Nephrology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH QUEENS NEPHROLOGY ASSOCIATES

Practice address

17537 Liberty Ave
Jamaica, NY 11433-1325

Phone

(718) 297-9100

Fax

(718) 297-0625

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Ruzol Amarga, MD

Title

Nephrology

Phone

(718) 297-9100

Specialties & licenses 1

Addresses

Practitioners 4

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

• Stafford D John, MD

  • Nephrology Physician
  • Jackson Heights, NY
  • NPI 1508842261

  Specialist

  NPD (past)
• David Jonathan Sands, DPM

  • Foot Surgery Podiatrist
  • Great Neck, NY
  • NPI 1548265788
  NPD (past)
• Amy Su, MD PHD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1255315776
  NPD (past)
• Mitchell Glodowski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Camarillo, CA
  • NPI 1689602237
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1255316246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17537 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331325",
            "telephone_number": "718-297-9100",
            "fax_number": "718-297-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17537 LIBERTY AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331325",
            "telephone_number": "718-297-9100",
            "fax_number": "718-297-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH QUEENS NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AMARGA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "RUZOL",
        "authorized_official_title_or_position": "NEPHROLOGY",
        "authorized_official_telephone_number": "718-297-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sounds Good Audiology Services PLLC
• Sounds Good Audiology Services PLLC
• South Merrick NP in Adult Health P.C.
• South Queens Dialysis Center
• South Queens Dialysis Center
• Sovereign Care Medical Supplies Inc
• Halime Meryem Soylu, MD
• Erika Spadaro
• Ruth Sparks, CASAC
• Speak Easy Speech Services

• Specialist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.