Organization Active NPI

Safi Medical Kidney Care PLLC

  • Nephrology Physician
  • Elmont, NY
National Provider Identifier
1699524892
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SAFI MEDICAL KIDNEY CARE PLLC
Practice address
2015 Linden Blvd
Elmont, NY 11003-4000
Phone
(646) 463-0012
NPI assigned
May 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Saira SajidNPI 1548795289
Title
Employer
Phone
(646) 463-0012

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2015 Linden Blvd
Elmont, NY 11003-4000

Mailing address

1 Fairway CT
Oyster Bay, NY 11771-4411
Phone (646) 463-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240717000297 NY Part B Supplier - Clinic/Group Practice 3476098252 Receives reassigned benefits from 1 practitioner
Practice locations: Rego Park, NY; Lynbrook, NY; Hicksville, NY; Elmont, NY

National Provider Directory

National Provider Directory

Locations

496 S Broadway
Hicksville, NY 11801
Phone (646) 463-0012

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1699524892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FAIRWAY CT",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117714411",
            "telephone_number": "646-463-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 LINDEN BLVD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034000",
            "telephone_number": "646-463-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFI MEDICAL KIDNEY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "SAJID",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "646-463-0012"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.