Organization Active NPI

Nassau Nephrology LLP

  • Nephrology Physician
  • Bellmore, NY
National Provider Identifier
1639159775
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NASSAU NEPHROLOGY LLP
Practice address
250 Pettit Avenue
Suite 4
Bellmore, NY 11710
Phone
(516) 409-0106
Fax
(516) 409-0108
NPI assigned
Jan 17, 2006
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Ralph C Caselneva
Title
Nephrologist
Phone
(516) 409-0106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

250 Pettit Avenue
Suite 4
Bellmore, NY 11710

Mailing address

250 Pettit Avenue
Suite 4
Bellmore, NY 11710
Phone (516) 409-0106

Other identifiers 1

IdentifierTypeStateIssuer
02044677MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1639159775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PETTIT AVENUE",
            "address_2": "SUITE 4",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "11710",
            "telephone_number": "516-409-0106",
            "fax_number": "516-409-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PETTIT AVENUE",
            "address_2": "SUITE 4",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "11710",
            "telephone_number": "516-409-0106",
            "fax_number": "516-409-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU NEPHROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "CASELNEVA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NEPHROLOGIST",
        "authorized_official_telephone_number": "516-409-0106"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02044677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.