Premier Renal Care, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

180042 Issued in NY

Legal business name

PREMIER RENAL CARE, P.C.

Practice address

128 Mott St
Suite 405
New York, NY 10013-5540

Phone

(212) 966-0068

Fax

(212) 966-0072

NPI assigned

Nov 7, 2006

Last updated

Mar 19, 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

Chan Ma, M.D.NPI 1487642120

Title

President

Phone

(718) 715-8674

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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.

• Chan M Ma, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1487642120
  Medicare reassignment NPD Authorized official
• Susan S Eng-Ma, P.A.

  • Physician Assistant
  • New York, NY
  • NPI 1477687754
  NPD (past)
• Nai Yao, MD

  • Nephrology Physician
  • New York, NY
  • NPI 1053326843
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1528137072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 SHORE RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092809",
            "telephone_number": "718-715-8674",
            "fax_number": "212-966-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "SUITE 405",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "212-966-0068",
            "fax_number": "212-966-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RENAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "CHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-715-8674",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "180042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Physicians of New York PLLC (Eastside Radiation Oncology)
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC
• Premier Physicians of New York PLLC (Alexander Sotiropoulos, MD)
• Premier Physicians of New York PLLC
• Beth Aviva Preminger, M.D., MPH
• Fabia Preminger
• Jonathan Preminger
• Premire Physicians of New York PLLC
• Premise Health of New York Medical PC (Ogilvy Medical Center)

• Nephrology Physician in New York, NY
• Providers in New York, 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 Mar 19, 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.