NPIMap

Organization Active NPI

Nimra Sarfaraz DO PLLC

  • Nephrology Physician
  • Hollis, NY
National Provider Identifier
1720478373
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
261663 Issued in NY
Legal business name
NIMRA SARFARAZ DO PLLC
Practice address
19909 Hillside Ave
Hollis, NY 11423-2130
Phone
(718) 454-1732
Fax
(718) 454-1564
NPI assigned
Feb 3, 2015
Last updated
Sep 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Miss Nimra Sarfaraz, D.O.NPI 1104088780
Title
Director
Phone
(516) 519-3959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 261663 NY Primary

Addresses

Primary practice location

19909 Hillside Ave
Hollis, NY 11423-2130

Mailing address

PO Box 2149
New Hyde Park, NY 11040-8149
Phone (516) 519-3959

Other identifiers 2

IdentifierTypeStateIssuer
261663OtherNYNY STATE LICENSE
03366685OtherNYPERSONNAL MEDICAID PROVIDED NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1720478373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2149",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110408149",
            "telephone_number": "516-519-3959",
            "fax_number": "718-454-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19909 HILLSIDE AVE",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114232130",
            "telephone_number": "718-454-1732",
            "fax_number": "718-454-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMRA SARFARAZ DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "SARFARAZ",
        "authorized_official_first_name": "NIMRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-519-3959",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "261663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "261663",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONNAL MEDICAID PROVIDED NUMBER",
            "identifier": "03366685",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.