Renu Rani Aggarwal, M.D.
Individual provider Active NPI Neonatal-Perinatal Medicine Physician · Mineola, NY
NPI 1699798207 · NPPES record last updated Feb 5, 2021
Key facts
- NPI
- 1699798207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neonatal-Perinatal Medicine Physician 2080N0001X
- License
- 130203 (NY)
- Practice address
- 259 1St St
Mineola, NY 11501-3957 - Phone
- (516) 663-3853
- Fax
- (516) 663-8955
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216001144 | NY | Practitioner - Pediatric Medicine | 0840471397 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130203 | NY | MD | Neonatal-Perinatal Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current |
Accepting new patients | |
| New York University | Current |
Accepting new patients | |
| NYU Langone Hospitals | Past | Accepting new patients |
Locations
1122 Franklin Ave
Garden City, NY 11530
Phone (516) 633-2066
340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
222 Station Plz N
Ste 611
Mineola, NY 11501
Phone (516) 663-2532
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 130203 | NY | Yes |
Addresses
Primary practice location
259 1St St
Mineola, NY 11501-3957
Mailing address
222 Station PLZ N
Suite 611
Mineola, NY 11501-3808
Phone (516) 663-2532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00432357 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raggarwal255364@nyumc.direct-ci.com |
Other providers in Mineola, NY
- Marc S Adler
- Advanced Pulmonary Diagnostics, RLLP
- Advisory Council for the Youth of Mineola, Inc.
- Salvatore Anthony Affrunti
- Priya Agarwala
- Aniket Agrawal
- Marc Adam Agulnick
- Nureen Ahammed
- Moira Kathleen Ahearne
- Sumbal Ahmad
All providers in Mineola, NY · Neonatal-Perinatal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.