Organization Active NPI

Kidney Care Associates, PLLC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1487637070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY CARE ASSOCIATES, PLLC
Practice address
2035 Ralph Ave
Suite #B5
Brooklyn, NY 11234-5300
Phone
(718) 209-4100
Fax
(718) 209-0715
NPI assigned
Nov 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Warren B. Shapiro, MD
Title
President
Phone
(718) 209-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

2035 Ralph Ave
Suite #B5
Brooklyn, NY 11234-5300

Mailing address

2035 Ralph Ave
Suite #B5
Brooklyn, NY 11234-5300
Phone (718) 209-4100

Other identifiers 2

IdentifierTypeStateIssuer
7921147OtherNYAETNA US HEALTHCARE-PPO
2348482OtherNYAETNA US HEALTHCARE-HMO

National Provider Directory

National Provider Directory

Locations

2035 Ralph Ave
Ste B5
Brooklyn, NY 11234
Phone (718) 209-1400

9701 Church Ave
Rm 101
Brooklyn, NY 11212
Phone (718) 240-5615

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487637070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "SUITE #B5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-209-4100",
            "fax_number": "718-209-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "SUITE #B5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-209-4100",
            "fax_number": "718-209-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-209-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE-PPO",
            "identifier": "7921147",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE-HMO",
            "identifier": "2348482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.