Voorhies Nephrology Medical PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VOORHIES NEPHROLOGY MEDICAL PC

Practice address

1309 Avenue P
Brooklyn, NY 11229-1164

Phone

(718) 648-2162

Fax

(718) 645-1148

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Zinovy Brener, M.D.,NPI 1265479539

Title

Owner

Phone

(718) 648-2162

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Zachary Zinovy Brener, M.D,

  • Specialist
  • Brooklyn, NY
  • NPI 1265479539
  Medicare reassignment NPD Authorized official
• Tatiana Kidanov, MS,RD,CDN,CDCES

  • Metabolic Nutrition Registered Dietitian
  • Staten Island, NY
  • NPI 1871775171
  Medicare reassignment NPD

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1295772424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EAST 61 STREET",
            "address_2": "APT 16 B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10065",
            "telephone_number": "718-648-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291164",
            "telephone_number": "718-648-2162",
            "fax_number": "718-645-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOORHIES NEPHROLOGY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "BRENER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "ZINOVY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-648-2162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02239605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Von Miller, DACM
• Martha Vonbujdoss, OTR/L
• Tin Lam Vong
• Shannon Danielle Charisse Vontres
• Voorhies Health Pharmacy Inc
• Parthiv Vora, RPH
• Sanjana Vora
• Joan Vorderbruggen, LPN
• Boris Vorik, DPT
• Jelena Vorkapich, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.