Pasha Kidney Medical Care PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

PASHA KIDNEY MEDICAL CARE PLLC

Practice address

296 Baileys Gap Rd
Highland, NY 12528-2300

Phone

(845) 428-9895

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ibrahim Raza Pasha, MDNPI 1629331798

Title

President

Phone

(845) 428-9895

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• LSL Newburgh, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cornwall, NY
  • NPI 1346572153

  Member Of

  NPD member

Locations

Practitioners 1

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

• Ibrahim Raza Pasha, M.D.

  • Nephrology Physician
  • Newburgh, NY
  • NPI 1629331798
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1659152254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 BAILEYS GAP RD",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 BAILEYS GAP RD",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282300",
            "telephone_number": "845-428-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASHA KIDNEY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "PASHA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "RAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-428-9895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Paff, DED
• Rebecca Palmatier, CCC-M.S.-SLP
• Dawn Marie Palmer, LCSWP
• Stephanie Robin Parsons, BCBA, LBA
• Anthony Michael Pascale, DDS
• Cynthia F Pece
• Sarah Peck, BSED
• Jillian Carlstrom Perry, PA-C
• Gabrielle Phillips, MHC
• Sandra Leigh Pinkney

• Nephrology Physician in Highland, NY
• Providers in Highland, 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 Oct 18, 2023; 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.