Ny Renal Care PC.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

205041 Issued in NY

Legal business name

NY RENAL CARE PC.

Practice address

242 Bullsboro Dr
Newnan, GA 30263-1295

Phone

(914) 643-3879

Fax

(844) 330-1541

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dwarka P Rathi, MD

Title

President

Phone

(914) 643-3879

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Gangacharan R. Dubey, M.D.

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1477547669
  NPD (past)
• Seema Rathi, M.D

  • Ophthalmology Physician
  • Yonkers, NY
  • NPI 1619911997
  NPD (past)

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1629372123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 TRYON RD NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192940",
            "telephone_number": "914-643-3879",
            "fax_number": "917-525-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631295",
            "telephone_number": "914-643-3879",
            "fax_number": "844-330-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY RENAL CARE PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "RATHI",
        "authorized_official_first_name": "DWARKA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-643-3879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "205041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03316896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Npractice
• Nra-Newnan Acquisition, LLC
• Tayanau Deann Nunez, NP
• Angela Lynn Nutt, RN
• Ike A Nwaobi, M.D.
• Ifeanyi Nzegwu, MD
• Kyle Mark O'Bryan, CRNA
• Mallory O'Connell, CPNP-PC
• Cynthia O'Kelley, CRNA
• Oak Hill Dentistry PC

• Nephrology Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.