Cambridge Nephrology PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

202867 Issued in NY

Legal business name

CAMBRIDGE NEPHROLOGY PLLC

Practice address

8122 7TH Ave
Brooklyn, NY 11228-2805

Phone

(718) 836-0225

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Reynaldo G. TanNPI 1053343731

Title

M.D.

Phone

(718) 836-0225

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Reynaldo Go Tan, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1053343731
  Medicare reassignment NPD Authorized official
• Antonio Caracta, MD

  • Cardiovascular Disease Physician
  • Staten Island, NY
  • NPI 1508927013
  NPD (past)
• Anne R Duque, MD

  • Allergy Physician
  • Staten Island, NY
  • NPI 1831290428
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1881802973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282805",
            "telephone_number": "718-836-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282805",
            "telephone_number": "718-836-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE NEPHROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "718-836-0225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "202867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01609067",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053343731",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helene Camarda
• Camba
• Linda Yesenia Cambero
• Carmen Y Cambi, LPN
• Cambria Medical Care PC
• Rhonda N Cambridge Phillip, MD
• Vernia Cambridge-Morgan
• Emara Cambridge
• Hadiya Cambridge
• Judeline Came

• Nephrology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.