Organization Active NPI

Nephrology Associates,P.C.

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1740382886
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES,P.C.
Practice address
1874 Pelham Pkwy S
Bronx, NY 10461-3733
Phone
(718) 931-5800
Fax
(718) 518-7065
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chaim Charytan, M.D.
Title
President
Phone
(718) 931-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X NY Primary

Addresses

Primary practice location

1874 Pelham Pkwy S
Bronx, NY 10461-3733

Mailing address

1874 Pelham Pkwy S
Bronx, NY 10461-3733
Phone (718) 931-5800

Other identifiers 1

IdentifierTypeStateIssuer
00765673MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323002071 NY Part B Supplier - Clinic/Group Practice 8921999368 Receives reassigned benefits from 6 practitioners
Practice locations: Bronx, NY; Fresh Meadows, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0141083Nephrology Associates PC1874 Pelham Pkwy, Bronx, NY 10461Provider-performed microscopyMay 23, 2028

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associatespc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1874 Pelham Pkwy S
Apt Lr
Bronx, NY 10461
Phone (718) 931-5800

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740382886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-5800",
            "fax_number": "718-518-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613733",
            "telephone_number": "718-931-5800",
            "fax_number": "718-518-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARYTAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-931-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.