Organization Active NPI

Samuel a Agahiu MD PLLC

  • Nephrology Physician
  • Spring Valley, NY
National Provider Identifier
1467880989
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
249859 Issued in NY
Legal business name
SAMUEL A AGAHIU MD PLLC
Practice address
1 Alan Rd
Spring Valley, NY 10977-6047
Phone
(518) 248-2102
NPI assigned
Oct 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Authorized official

Name
Dr. Samuel Aminu Agahiu, MD
Title
Nephrologist
Phone
(518) 248-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 249859 NY Primary

Addresses

Primary practice location

1 Alan Rd
Spring Valley, NY 10977-6047

Mailing address

PO Box 233
Spring Valley, NY 10977-0233
Phone (518) 248-2102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1467880989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 233",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109770233",
            "telephone_number": "518-248-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALAN RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776047",
            "telephone_number": "518-248-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL A AGAHIU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "AGAHIU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "AMINU",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "518-248-2102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "249859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.