Active NPI
Maimonides Medical Center - Maimonides Division of Renal Medic
- Nephrology Physician
- Brooklyn, NY
National Provider Identifier
1679676563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MAIMONIDES MEDICAL CENTER - MAIMONIDES DIVISION OF RENAL MEDIC
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-8773
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheldon Greenberg, MD
- Title
- Authorized Official
- Phone
- (718) 283-8773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
Gpo Box 27359
New York, NY 10087-7359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
953 49th St
Ste 611
Brooklyn, NY 11219
726 64th St
Brooklyn, NY 11220
Phone (212) 966-0068
4802 10th Ave
Fl 5
Brooklyn, NY 11219
Phone (718) 283-7706
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1831270305
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1366523839
-
- Student in an Organized Health Care Education/Training Program
- Yonkers, NY
- NPI 1770071169
-
- Student in an Organized Health Care Education/Training Program
- Brooklyn, NY
- NPI 1154518199
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1265428528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360713600000",
"number": "1679676563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GPO BOX 27359",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100877359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-8773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIMONIDES MEDICAL CENTER - MAIMONIDES DIVISION OF RENAL MEDIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2013-02-13",
"status": "A",
"authorized_official_last_name": "GREENBERG",
"authorized_official_first_name": "SHELDON",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "718-283-8773",
"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
- Maimonides Medical Center
- Maimonides Medical Center - Brooklyn Breast Program
- Maimonides Medical Center - Division of Endocrinology FPP
- Maimonides Medical Center - Interventional Neuro Associates FPP
- Maimonides Medical Center - Maimo Criticare FPP
- Maimonides Medical Center - MMC Division of Geriatric Medicine FPP
- Maimonides Medical Center - MMC Emergency Physicians FPP
- Maimonides Medical Center - MMC Gastroenterology FPP
- Maimonides Medical Center - MMC Neurosurgery FPP
- Maimonides Medical Center - MMC Radiology FPP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.