NPIMap

Individual provider Active NPI

Atul Maini, M.D.

  • Nephrology Physician
  • Maspeth, NY
National Provider Identifier
1780876268
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09258400 Issued in NJ
Practice address
6519 Borden Ave
Maspeth, NY 11378-1630
Phone
(718) 899-0060
Fax
(718) 899-0175
NPI assigned
Aug 17, 2007
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 245574 NY
Nephrology Physician 207RN0300X 25MA09258400 NJ Primary

Addresses

Primary practice location

6519 Borden Ave
Maspeth, NY 11378-1630

Mailing address

1 Bethany Rd Ste 91
Hazlet, NJ 07730-1669
Phone (732) 847-3662

Other identifiers 1

IdentifierTypeStateIssuer
02965864MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504000851 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3678651841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care CentersGroup PAC ID 6204279441, 23 clinicians

Practice addresses (Care Compare)

1 Bethany Rd
Suite 91
Hazlet, NJ 07730-1669
Phone (732) 460-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Nephrology, PLLC Nephrology Current Accepting new patients
Kidney Care Centers Nephrology CurrentSince Feb 1, 2024 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Sai Nephrology LLC Nephrology CurrentSince Feb 24, 2015 Accepting new patients
Wyckoff Medical Services, P C Internal Medicine Past Accepting new patients

Locations

6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414

318 Professional View Dr
Freehold, NJ 07728
Phone (732) 341-9500

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 653-3366

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

Interoperability endpoints

  • Direct secure messaging: amaini40614@direct.davitaphysiciansolutions.com
  • Direct secure messaging: amaini425278@direct.ahsys.org
  • Direct secure messaging: atulmaini@whmc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1780876268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BETHANY RD STE 91",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301669",
            "telephone_number": "732-847-3662",
            "fax_number": "732-344-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 BORDEN AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781630",
            "telephone_number": "718-899-0060",
            "fax_number": "718-899-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINI",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "245574",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09258400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02965864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.