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

Last updated

Sep 29, 2023By the provider in NPPES

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, MDNPI 1528077732

Title

President

Phone

(914) 643-3879

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Dwarka Rathi, MD

  • Nephrology Physician
  • Brookhaven, GA
  • NPI 1528077732
  Authorized official Same address or phone
• 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": [],
    "endpoints": [],
    "other_names": []
}

• Npractice
• Nra-Newnan Acquisition, LLC (Newnan Dialysis Services)
• 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.