Active NPI
Downtown Renal Medicine, P.C.
- Nephrology Physician
- New York, NY
National Provider Identifier
1487673794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 157328
- Legal business name
- DOWNTOWN RENAL MEDICINE, P.C.
- Practice address
- 41 Elizabeth St
Suite 302
New York, NY 10013-4637 - Phone
- (212) 334-8108
- Fax
- (212) 334-8147
- NPI assigned
- Jul 18, 2006
- Last updated
- Feb 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michelle Le Nguyen
- Title
- Admistrator
- Phone
- (212) 334-8108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 157328 | NY | Primary |
Addresses
Primary practice location
41 Elizabeth St
Suite 302
New York, NY 10013-4637
Mailing address
41 Elizabeth Street
Suite 302
New York, NY 10013
Phone (212) 334-8108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00923166 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 Canal St
Ste 305
New York, NY 10013
Phone (212) 334-8108
41 Elizabeth St
#302
New York, NY 10013
Phone (212) 334-8108
41 Elizabeth St
Ste 302
New York, NY 10013
Phone (212) 334-8108
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJGGAA
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Nephrology Physician
- New York, NY
- NPI 1871512517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201824000000",
"number": "1487673794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 ELIZABETH STREET",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "212-334-8108",
"fax_number": "212-334-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 ELIZABETH ST",
"address_2": "SUITE 302",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134637",
"telephone_number": "212-334-8108",
"fax_number": "212-334-8147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN RENAL MEDICINE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2008-02-01",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LE",
"authorized_official_title_or_position": "ADMISTRATOR",
"authorized_official_telephone_number": "212-334-8108",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "157328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00923166",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Downtown Physicians P.C.
- Downtown Plastic Surgery, PC
- Downtown Primary Care LLP
- Downtown Psychological Consultants, P.C. (Downtown Professional Consultants)
- Downtown Psychological Services PC
- Downtown Surgical Associates, P.C.
- Downtown Women OB GYN Associates LLP
- Latasha Doxen
- Alex Doyle, MBBS
- Brian Doyle
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.