Organization Active NPI

New York Medical Care for Nephrology P.C

  • Nephrology Physician
  • South Richmond Hill, NY
National Provider Identifier
1730504655
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
269850 Issued in NY
Legal business name
NEW YORK MEDICAL CARE FOR NEPHROLOGY P.C
Practice address
10120 Lefferts Blvd
Richmond Hill
South Richmond Hill, NY 11419-2006
Phone
(347) 666-1144
NPI assigned
Feb 28, 2014
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dr. Noori Al-Waili, MD,PHDNPI 1215215579
Title
Owner
Phone
(347) 666-1144

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Nephrology Physician 207RN0300X 269850 NY Primary

Addresses

Primary practice location

10120 Lefferts Blvd
Richmond Hill
South Richmond Hill, NY 11419-2006

Mailing address

8740 134TH St
Richmond Hill
Richmond Hill, NY 11418-2815
Phone (347) 666-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902000464 NY Part B Supplier - Clinic/Group Practice 6608094826 Receives reassigned benefits from 1 practitioner
Practice locations: South Richmond Hill, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1730504655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8740 134TH ST",
            "address_2": "RICHMOND HILL",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114182815",
            "telephone_number": "347-666-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 LEFFERTS BLVD",
            "address_2": "RICHMOND HILL",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192006",
            "telephone_number": "347-666-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MEDICAL CARE FOR NEPHROLOGY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "AL-WAILI",
        "authorized_official_first_name": "NOORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-666-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "269850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.