Organization Active NPI

Midwood Nephrology Care PLLC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1679115372
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MIDWOOD NEPHROLOGY CARE PLLC
Practice address
1915 Ocean Ave
Brooklyn, NY 11230-6801
Phone
(718) 258-7700
Fax
(718) 228-2680
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Yana Shtern, MD
Title
MD
Phone
(917) 209-9990

Specialties & licenses 1

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

Addresses

Primary practice location

1915 Ocean Ave
Brooklyn, NY 11230-6801

Mailing address

255 Arkansas Dr
Brooklyn, NY 11234-6901
Phone (917) 209-9990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1679115372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ARKANSAS DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346901",
            "telephone_number": "917-209-9990",
            "fax_number": "718-228-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306801",
            "telephone_number": "718-258-7700",
            "fax_number": "718-228-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD NEPHROLOGY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "SHTERN",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-209-9990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.