NK Medical PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NK MEDICAL PC

Practice address

2 Coraci Blvd Ste 11
William Floyd Commons
Shirley, NY 11967-4833

Phone

(631) 281-4861

NPI assigned

Dec 29, 2013

Last updated

Dec 29, 2013By 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. Neeru Kumar, M.D.NPI 1255650685

Title

Physician

Phone

(631) 281-4861

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 15

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.

• Neeru Kumar, M.D.

  • Nephrology Physician
  • Shirley, NY
  • NPI 1255650685
  Medicare reassignment Care Compare group Authorized official
• Dimple Puthethukudi George, N P

  • Adult Health Nurse Practitioner
  • Patchogue, NY
  • NPI 1194100537
  Medicare reassignment Care Compare group NPD
• MD Masud Billah, MD

  • Hospitalist Physician
  • Massapequa, NY
  • NPI 1720574346

  Single Specialty

  Medicare reassignment NPD
• Kelly Ann Godberson, NP

  • Nurse Practitioner
  • Medford, NY
  • NPI 1053833962
  Medicare reassignment NPD
• Ashley Reynolds, FNP-BC

  • Family Nurse Practitioner
  • Patchogue, NY
  • NPI 1013227164
  Medicare reassignment NPD
• Robert Jake Stone, NP

  • Adult Health Nurse Practitioner
  • East Patchogue, NY
  • NPI 1033830799
  Medicare reassignment NPD
• Titsania Elizabeth Supersad Coley, AGNP-C

  • Adult Health Nurse Practitioner
  • Patchogue, NY
  • NPI 1700623907
  Medicare reassignment NPD
• Hebbalmath M Thippeswamy, MD

  • Nephrology Physician
  • Shirley, NY
  • NPI 1285683771
  Medicare reassignment NPD
• Gurwinder Sidhu, MD

  • Internal Medicine Physician
  • Brookhaven, NY
  • NPI 1588126999
  Medicare reassignment
• Chidambaranathan Chandrasekaran, M.D.

  • Adult Medicine Physician
  • East Patchogue, NY
  • NPI 1942367883
  NPD (past)
• William James Friedel, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Patchogue, NY
  • NPI 1659320976
  NPD (past)
• Sanjay Godhwani, MD

  • Rheumatology Physician
  • Wading River, NY
  • NPI 1174783567
  NPD (past)

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

{
    "created_epoch": "1388275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388275200000",
    "number": "1467873018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD STE 11",
            "address_2": "WILLIAM FLOYD COMMONS",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-281-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD STE 11",
            "address_2": "WILLIAM FLOYD COMMONS",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-281-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-29",
        "last_updated": "2013-12-29",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "NEERU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-281-4861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashli Nappi
• Chinh Nappi
• Danielle Kayla Nevins-Manuel
• Julia Nicoletti
• Luann Nicosia, LPN
• Danielle Nobles
• Omaidullah Noori
• France Normandeau, LPN
• Ny Chiropractic Diagnostic Testing PC
• Meagan Odenthal

• Nephrology Physician in Shirley, NY
• Providers in Shirley, 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 Dec 29, 2013; 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.