Organization Active NPI

Kidney Medical Associates PLLC

  • Specialist
  • Bronx, NY
National Provider Identifier
1578933461
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KIDNEY MEDICAL ASSOCIATES PLLC
Practice address
34 Marconi St Ste 100
Bronx, NY 10461-0379
Phone
(718) 794-1200
Fax
(718) 794-1222
NPI assigned
Oct 5, 2015
Last updated
Mar 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Jo Scarano
Title
Practice Administrator
Phone
(718) 794-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

34 Marconi St Ste 100
Bronx, NY 10461-0379

Mailing address

34 Marconi St Ste 100
Bronx, NY 10461-0379
Phone (718) 794-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160315000505 NY Part B Supplier - Clinic/Group Practice 5698071868 Receives reassigned benefits from 18 practitioners
Practice locations: Bronx, NY; Long Island City, NY; New Rochelle, NY; Bronx, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1049228Kidney Medical Associates PLLC34 Marconi Street, Suite 100, Bronx, NY 10461Certificate of waiverDec 28, 2027

National Provider Directory

National Provider Directory

Locations

1000 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 409-8200

1578 Williamsbridge Rd
Ste 1
Bronx, NY
Phone (718) 822-1469

1622 Bruckner Blvd
Bronx, NY 10473

1695 Eastchester Rd
Bronx, NY 10461
Phone (718) 405-8020

1695 Eastchester Rd
Fl 4
Bronx, NY 10461
Phone (718) 792-0470

1733 Eastchester Rd
Frnt 2
Bronx, NY 10461

1733 Eastchester Rd
Ste 3
Bronx, NY 10461
Phone (718) 409-2007

1940 Webster Ave
Ste 2
Bronx, NY 10457
Phone (718) 901-9122

34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060

34 Marconi St
Ste 100
Bronx, NY 10461
Phone (718) 794-1200

3468 Park Ave
Ste 1
Bronx, NY 10456
Phone (718) 401-2836

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1578933461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MARCONI ST STE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104610379",
            "telephone_number": "718-794-1200",
            "fax_number": "718-794-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MARCONI ST STE 100",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104610379",
            "telephone_number": "718-794-1200",
            "fax_number": "718-794-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "SCARANO",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "718-794-1200"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.