Rebecca Backenroth-Maayan, M.D.
Individual provider Active NPI Nephrology Physician · Pelham, NY
NPI 1386948735 · NPPES record last updated Dec 28, 2010
Key facts
- NPI
- 1386948735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 129217-1 (NY)
- Practice address
- 15 Mitchill PL
Pelham, NY 10803-2505 - Phone
- (617) 935-5532
- NPI assigned
- Dec 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129217-1 | NY | MD | Nephrology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 129217-1 | NY | Yes |
Addresses
Primary practice location
15 Mitchill PL
Pelham, NY 10803-2505
Mailing address
15 Mitchill PL
Pelham, NY 10803-2505
Other names
- Dr. Rebecca Backenroth
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All providers in Pelham, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.