Long Island Renal Care Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

5120201R Issued in NY

Legal business name

LONG ISLAND RENAL CARE INC

Practice address

3460 Great Neck Rd
Amityville, NY 11701-1915

Phone

(631) 532-6969

Fax

(631) 532-6968

NPI assigned

Mar 27, 2009

Last updated

Jan 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrey Goncharuk, M.D.

Title

President

Phone

(631) 532-6969

Specialties & licenses 1

Addresses

Other names 1

• LONG ISLAND R C INC Former legal business name

Practitioners 1

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.

• Madhusudana R Korrapati, M.D.

  • Nephrology Physician
  • Mineola, NY
  • NPI 1255339834
  NPD (past)

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1447492079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 GREAT NECK RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011915",
            "telephone_number": "631-532-6969",
            "fax_number": "631-532-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 GREAT NECK RD",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011915",
            "telephone_number": "631-532-6969",
            "fax_number": "631-532-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND RENAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "GONCHARUK",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-532-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "5120201R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG ISLAND R C INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Long Island Families Together, Inc.
• Long Island Health & Wellness Family Medicine, P.C.
• Long Island Home
• Long Island Home Tech Help, LLC
• Long Island Medical of Amityville PC
• Claire Marie Lopardo, LCSW
• Jennifer Maria Lopez, DCSW
• Marisel Lopez, LMSW
• Marllene Lopez
• Christopher Louis Jr.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Amityville, NY
• Providers in Amityville, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.