Organization Active NPI

Renal Consultants P.C.

  • Specialist
  • Pomona, NY
National Provider Identifier
1275557753
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RENAL CONSULTANTS P.C.
Practice address
1 Medical Park Dr
Pomona, NY 10970-3516
Phone
(845) 362-5600
Fax
(845) 362-5616
NPI assigned
Jul 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michelle Medina
Title
Office Manager
Phone
(845) 356-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

1 Medical Park Dr
Pomona, NY 10970-3516

Mailing address

1 Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000238 NY Part B Supplier - Clinic/Group Practice 2860383551 Receives reassigned benefits from 3 practitioners
Practice locations: Valley Cottage, NY; Pomona, NY; New City, NY; Montebello, NY; Nanuet, NY; Airmont, NY

National Provider Directory

National Provider Directory

Locations

515 Route 304
Ste 2A
New City, NY 10956
Phone (845) 638-2007

1 Medical Park Dr
Pomona, NY 10970
Phone (845) 354-9500

131 Route 303
Valley Cottage, NY 10989
Phone (845) 268-2777

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275557753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-5600",
            "fax_number": "845-362-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-5600",
            "fax_number": "845-362-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CONSULTANTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-356-5600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.