Individual provider Active NPI

Musa N Njeru, MD

  • Nephrology Physician
  • South Richmond Hill, NY
National Provider Identifier
1598086258
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
264130 Issued in NY
Practice address
12507 101St Ave
South Richmond Hill, NY 11419-1411
Phone
(347) 460-4253
Fax
(718) 355-9650
NPI assigned
Jun 17, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 264130 NY Primary

Addresses

Primary practice location

12507 101St Ave
South Richmond Hill, NY 11419-1411

Mailing address

3435 70TH St
Apt 111
Jackson Heights, NY 11372-1055
Phone (609) 442-2393

Other identifiers 1

IdentifierTypeStateIssuer
1598086258MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120322000019 NY Practitioner - Internal Medicine 8628264181 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Kidney PhysiciansGroup PAC ID 4284978115, 8 clinicians

Practice addresses (Care Compare)

3435 70TH St
Jackson Heights, NY 11372-1055
Phone (718) 651-9700

Hospital & facility affiliations

  • FMS-Queens Artificial Kidney Center Dialysis facility, Jackson Heights, NY, CCN 332517
  • FMS-St. Alban'S Dialysis Center Dialysis facility, Jamaica, NY, CCN 332595
  • FMS-Queens Kidney Care Dialysis facility, Maspeth, NY, CCN 332791
  • FMS-South Queens Dialysis Center Dialysis facility, Jamaica, NY, CCN 332531
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC CurrentSince Apr 1, 2012 Accepting new patients

Locations

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: mnjeru16379@direct.acumenmd.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1598086258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "address_2": "APT 111",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "609-442-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191411",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJERU",
        "first_name": "MUSA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "264130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598086258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.