Organization Active NPI

Nephrology PLLC

  • Specialist
  • Yonkers, NY
National Provider Identifier
1609900844
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
129957 Issued in NY
Legal business name
NEPHROLOGY PLLC
Practice address
9A Central Park Ave
Yonkers, NY 10705-4746
Phone
(914) 376-3330
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Manash K Dasgupta, M.D.NPI 1336136993
Title
President
Phone
(914) 376-3330

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 129957 NY Primary

Addresses

Primary practice location

9A Central Park Ave
Yonkers, NY 10705-4746

Mailing address

9A Central Park Ave
Yonkers, NY 10705-4746
Phone (914) 376-3330

Other identifiers 5

IdentifierTypeStateIssuer
P412198OtherNYOXFORD
CK6794OtherNYRAILROAD MEDICARE
1000005074OtherNYAFFINITY HEALTH PLAN
00238615MedicaidNY
3300322OtherNYGHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100224000699 NY Part B Supplier - Clinic/Group Practice 5294626263 Receives reassigned benefits from 1 practitioner
Practice locations: Yonkers, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

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

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

575 Yonkers Ave
Yonkers, NY 10704
Phone (914) 377-2370

9A Central Park Ave
Yonkers, NY 10705
Phone (914) 376-3330

Practitioners & affiliated clinicians

Practitioners 2

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1609900844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9A CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054746",
            "telephone_number": "914-376-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A CENTRAL PARK AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107054746",
            "telephone_number": "914-376-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "DASGUPTA",
        "authorized_official_first_name": "MANASH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-376-3330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "129957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P412198",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK6794",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY HEALTH PLAN",
            "identifier": "1000005074",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00238615",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "3300322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.