Nephrology Medical Care PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEPHROLOGY MEDICAL CARE PLLC

Practice address

2604 169TH St
Flushing, NY 11358-1131

Phone

(347) 438-1950

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Mary Green

Title

Billing Manager

Phone

(718) 963-3350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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

• Alexander Bangiev, M.D.

  • Nephrology Physician
  • Rego Park, NY
  • NPI 1689636375

  Specialist

  Medicare reassignment Care Compare group NPD
• Ljubisa Micic, M.D.

  • Nephrology Physician
  • Flushing, NY
  • NPI 1750395000
  Medicare reassignment Care Compare group
• Ravi Vamsi Siriki, MD

  • Nephrology Physician
  • Flushing, NY
  • NPI 1184910523
  Medicare reassignment Care Compare group
• Dayanand V. Huded, M.D.

  • Nephrology Physician
  • Jackson Heights, NY
  • NPI 1801844634
  Medicare reassignment NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1306222526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 169TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581131",
            "telephone_number": "347-438-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 169TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581131",
            "telephone_number": "347-438-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "718-963-3350"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avital Nektalova, DDS
• Oksana Nektalova, MA CCC SLP
• Rayelle Nelling, DDS
• Tenzin Yonten Nelung, CRNA
• Nephrology Associates, P.C.
• Alan Barry Nerenberg, MD
• Emmanuel Jovenal Nerona, P.T.
• Kimberly Netto
• Alta Neuer
• Judith Eve Neuman, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.