Organization Active NPI

Downtown Renal Medicine, P.C.

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1487673794
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
157328 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00923166MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060421000483 NY Part B Supplier - Clinic/Group Practice 9739199670 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.