Atlantic Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ATLANTIC NEPHROLOGY PLLC

Practice address

250 E 53Rd St Apt 2402
New York, NY 10022-5247

Phone

(212) 347-2550

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Ian Lakkis, MD

Title

Member & Manager

Phone

(212) 347-2550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1265338719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 53RD ST APT 2402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225247",
            "telephone_number": "212-347-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 53RD ST APT 2402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225247",
            "telephone_number": "212-347-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "LAKKIS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "MEMBER & MANAGER",
        "authorized_official_telephone_number": "212-347-2550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in New York, NY
• Providers in New York, 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 Oct 19, 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.