Organization Active NPI

Heights Nephrology Medical Group, PC

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1770500100
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HEIGHTS NEPHROLOGY MEDICAL GROUP, PC
Practice address
115 1/2 Remsen St
Brooklyn, NY 11201-4212
Phone
(718) 852-4949
Fax
(718) 624-5972
NPI assigned
Jul 15, 2006
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Morrell Avram, MD
Title
President
Phone
(718) 852-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

115 1/2 Remsen St
Brooklyn, NY 11201-4212

Mailing address

115 1/2 Remsen St
Brooklyn, NY 11201-4212
Phone (718) 852-4949

Other identifiers 2

IdentifierTypeStateIssuer
CA2561OtherNYMEDICARE RAILROAD
00506354MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001995 NY Part B Supplier - Clinic/Group Practice 8729979166 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

550 Kingston Ave
Brooklyn, NY 11203
Phone (718) 221-5342

621 Degraw St
Fl 3
Brooklyn, NY 11217
Phone (718) 243-9360

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1770500100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 1/2 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4949",
            "fax_number": "718-624-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 1/2 REMSEN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014212",
            "telephone_number": "718-852-4949",
            "fax_number": "718-624-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS NEPHROLOGY MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "AVRAM",
        "authorized_official_first_name": "MORRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-852-4949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA2561",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00506354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.