Goodkidneys Medical, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

GOODKIDNEYS MEDICAL, P.C.

Practice address

1467 Arden Ave
Staten Island, NY 10312-5407

Phone

(718) 966-4864

Fax

(718) 966-4863

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Adel S. El-Hennawy, M.D.NPI 1861403180

Title

Owner

Phone

(718) 966-4864

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Adel Sayed El-Hennawy, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1861403180
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629146279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 ARDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125407",
            "telephone_number": "718-966-4864",
            "fax_number": "718-966-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 ARDEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125407",
            "telephone_number": "718-966-4864",
            "fax_number": "718-966-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODKIDNEYS MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EL-HENNAWY",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-966-4864",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Looking Optical Corp
• Mary E. Goodacre, M.A., CCCA
• Karen Goode
• Mark Goodenough, DDS, MD
• Christina Marie Goodheart, MA, CCC-SLP
• Michelle J Goodman Frohlich, D.P.T.
• Richard Y Goodman, D.D.S
• Steven A Goodman, DDS
• Erin Marie Goodwin, M.S.ED
• Thilini Lankika Goonawardena

• Nephrology Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.