Long Island Kidney Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

202133 Issued in NY

Legal business name

LONG ISLAND KIDNEY ASSOCIATES, PC

Practice address

4250 Hempstead Turnpike
Suite 17
Bethpage, NY 11714

Phone

(516) 735-5522

Fax

(516) 644-5385

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sushil Sagar, MDNPI 1285699041

Title

President/Owner

Phone

(516) 735-5522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Victor Chang, M.D.

  • Nephrology Physician
  • Bethpage, NY
  • NPI 1558537191
  Medicare reassignment Care Compare group NPD
• Niranjan Gunasekaran, D.O.

  • Nephrology Physician
  • Bethpage, NY
  • NPI 1598108185

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Navneet Kaur, M.D.

  • Nephrology Physician
  • Bethpage, NY
  • NPI 1104180769
  Medicare reassignment Care Compare group NPD
• Tazleem Shazad Khan, MD

  • Nephrology Physician
  • Bethpage, NY
  • NPI 1821397100
  Medicare reassignment Care Compare group NPD
• Sushil Sagar, MD,FACP,FASN

  • Nephrology Physician
  • Bethpage, NY
  • NPI 1285699041
  Medicare reassignment NPD Authorized official
• Prem L Sagar, M.D.,F.A.C.P.

  • Internal Medicine Physician
  • Bethpage, NY
  • NPI 1144285479
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1295036531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 17",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-735-5522",
            "fax_number": "516-644-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TURNPIKE",
            "address_2": "SUITE 17",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "11714",
            "telephone_number": "516-735-5522",
            "fax_number": "516-644-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND KIDNEY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "SAGAR",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-735-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "202133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda R Link, SLP
• Deanna Lino
• Diane Linzer, D.O.
• Ana Gabriella Loew, LMHC, CASAC
• Long Island Allergy & Asthma Care, PLLC
• Long Island Medical Interventional Services PLLC
• Long Island Primary Medical Care (Bethpage Primary Medical Care)
• Long Island, Queens Hearing Asso Inc
• Meredith Long, M.D.
• Victoria Lynn Lopipero, REGISTERED NURSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.