Agastin Michael, MD PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

227576 Issued in NY

Legal business name

AGASTIN MICHAEL, MD PLLC

Practice address

175 Memorial Hwy
Suite 3-1
New Rochelle, NY 10801-5635

Phone

(914) 740-7620

Fax

(914) 740-7621

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Agastin Michael, MD

Title

Owner

Phone

(914) 740-7620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1457526618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 3-1",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-740-7620",
            "fax_number": "914-740-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEMORIAL HWY",
            "address_2": "SUITE 3-1",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015635",
            "telephone_number": "914-740-7620",
            "fax_number": "914-740-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGASTIN MICHAEL, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "AGASTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-740-7620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "227576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.