NPIMap

Organization Active NPI

St. Albans Diaylsis PC

  • Nephrology Physician
  • Springfield Gardens, NY
National Provider Identifier
1568633998
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
176037 Issued in NY
Legal business name
ST. ALBANS DIAYLSIS PC
Practice address
134- 35 Springfield Blvd
Springfield Gardens, NY 11413
Phone
(718) 276-4750
Fax
(718) 276-4751
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. David Scott III, MDNPI 1730281452
Title
President
Phone
(718) 276-4750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 176037 NY Primary

Addresses

Primary practice location

134- 35 Springfield Blvd
Springfield Gardens, NY 11413

Mailing address

134- 35 Springfield Blvd
Springfield Gardens, NY 11413
Phone (718) 276-4750

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1568633998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134- 35 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-276-4750",
            "fax_number": "718-276-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134- 35 SPRINGFIELD BLVD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "11413",
            "telephone_number": "718-276-4750",
            "fax_number": "718-276-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALBANS DIAYLSIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-276-4750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "176037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.