NPIMap

Organization Active NPI

Manhattan Nephrology and Critical Care PLLC

  • Nephrology Physician
  • New York, NY
National Provider Identifier
1619339785
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
269730 Issued in NY
Legal business name
MANHATTAN NEPHROLOGY AND CRITICAL CARE PLLC
Practice address
116 E 124TH St
New York, NY 10035-1933
Phone
(646) 979-3316
Fax
(646) 979-3320
NPI assigned
Mar 28, 2016
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Sudhanshu Jain, MD
Title
President
Phone
(917) 862-5215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 269730 NY Primary

Addresses

Primary practice location

116 E 124TH St
New York, NY 10035-1933

Mailing address

310 W 120TH St
Apt 3C
New York, NY 10027-6192
Phone (917) 862-5215

National Provider Directory

National Provider Directory

Locations

116 E 124th St
New York, NY 10035
Phone (646) 979-3316

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1619339785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 120TH ST",
            "address_2": "APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276192",
            "telephone_number": "917-862-5215",
            "fax_number": "718-347-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 124TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351933",
            "telephone_number": "646-979-3316",
            "fax_number": "646-979-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN NEPHROLOGY AND CRITICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SUDHANSHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-862-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "269730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.