Brooklyn Nephrology Group, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BROOKLYN NEPHROLOGY GROUP, P.C.

Practice address

184 Sterling PL
Brooklyn, NY 11217-3307

Phone

(718) 783-6860

Fax

(718) 783-6861

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marcelene O Wilson

Title

Office Administrator

Phone

(718) 783-6891

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carline Marie Guirand, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1083622096
  Medicare reassignment
• David Keith Avram, MD

  • Specialist
  • Brooklyn, NY
  • NPI 1972598100
  NPD
• Marc Robert Avram, MD

  • Specialist
  • Brooklyn, NY
  • NPI 1629063748
  NPD
• Shannon Watkins, MD

  • Procedural Dermatology Physician
  • San Francisco, CA
  • NPI 1144463779

  Single Specialty

  NPD
• Oluwatoyin Akanbi, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1346404357
  NPD (past)
• Garrett Thomas Desman, M.D.

  • Dermatopathology (Pathology) Physician
  • New York, NY
  • NPI 1659532224
  NPD (past)
• Paul Fein, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1598789075
  NPD (past)
• Robert Lynn Finney Jr., M.D.

  • Procedural Dermatology Physician
  • New York, NY
  • NPI 1013208487
  NPD (past)
• Rella Marie Hartman, MD

  • Specialist
  • Brooklyn, NY
  • NPI 1619961356
  NPD (past)
• Xuan Wang, M.D. PH.D.

  • Anatomic Pathology Physician
  • Woodbury, NY
  • NPI 1578706032
  NPD (past)
• Jennifer L Kallio, PA-C

  • Physician Assistant
  • Reston, VA
  • NPI 1528022001
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881609352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173307",
            "telephone_number": "718-783-6860",
            "fax_number": "718-783-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 STERLING PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173307",
            "telephone_number": "718-783-6860",
            "fax_number": "718-783-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN NEPHROLOGY GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARCELENE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "718-783-6891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00504265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.