Indra D. Daniels Physician PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

187876 Issued in NY

Legal business name

INDRA D. DANIELS PHYSICIAN PLLC

Practice address

2000 N. Village Ave Suite 314
Rockville Centre, NY 11570

Phone

(516) 255-4200

Fax

(516) 594-2623

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Indra D. Daniels, PHYSICIAN PLLC

Title

Owner

Phone

(516) 255-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1467679472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 BROADWAY UNIT B SUITE 120",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "11557",
            "telephone_number": "516-255-4200",
            "fax_number": "516-594-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N. VILLAGE AVE SUITE 314",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-255-4200",
            "fax_number": "516-594-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDRA D. DANIELS PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "INDRA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-255-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICIAN PLLC"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "187876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01851367",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Icahn School of Medicine at Mount Sinai
• Ihor Magun MD
• David D. Ilson, LCSW
• Yusef Imani, MD
• Imolloy College Rebecca Center
• Infant and Toddler Interventionists
• Infectious Disease Practice of Long Island PC
• Leonard Ingber, MD
• Rita Ingram
• Gabriella Ingrassia, AUD

• Nephrology Physician in Rockville Centre, NY
• Providers in Rockville Centre, 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 Oct 22, 2007; 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.