Organization Active NPI

New York Kidney Physicians

  • Nephrology Physician
  • Jackson Heights, NY
National Provider Identifier
1902373863
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEW YORK KIDNEY PHYSICIANS
Practice address
3435 70TH St
Jackson Heights, NY 11372-1055
Phone
(347) 460-4253
Fax
(718) 355-9650
NPI assigned
Oct 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Dharmeshkumar Sutariya, MDNPI 1215190756
Title
Partner
Phone
(347) 360-4253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3435 70TH St
Jackson Heights, NY 11372-1055

Mailing address

3435 70TH St
Jackson Heights, NY 11372-1055
Phone (347) 460-4253

Other practice location 1

20619 Hillside Ave
Queens Village, NY 11427-1709
Phone (347) 460-4253

Other practice location 2

1752 Francis Lewis Blvd
Flushing, NY 11357-3247
Phone (347) 460-4253

Other practice location 3

3751 91st St
Jackson Heights, NY 11372-7927
Phone (347) 460-4253

Other practice location 4

22414 Merrick Blvd
Laurelton, NY 11413-2023
Phone (347) 460-4253

Other practice location 5

12507 101st Ave
South Richmond Hill, NY 11419-1411
Phone (347) 460-4253

Other practice location 6

17635 Union Tpke
Fresh Meadows, NY 11366-1515
Phone (347) 460-4253

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address queenskidney@directaddress.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181204002957 NY Part B Supplier - Clinic/Group Practice 4284978115 Receives reassigned benefits from 9 practitioners
Practice locations: Jackson Heights, NY

National Provider Directory

National Provider Directory

Locations

9610 Metropolitan Ave
Fl 2CND
Forest Hills, NY 11375

17629 Un Tpke
Fresh Meadows, NY 11366

7407 88th St
Glendale, NY 11385
Phone (646) 931-1000

20719 Hillside Ave
Queens Vlg, NY 11427
Phone (718) 217-0800

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1902373863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 70TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721055",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20619 Hillside Ave",
            "address_purpose": "LOCATION",
            "city": "Queens Village",
            "state": "NY",
            "postal_code": "114271709",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1752 Francis Lewis Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113573247",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3751 91st St",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727927",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22414 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Laurelton",
            "state": "NY",
            "postal_code": "114132023",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12507 101st Ave",
            "address_purpose": "LOCATION",
            "city": "South Richmond Hill",
            "state": "NY",
            "postal_code": "114191411",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17635 Union Tpke",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113661515",
            "country_code": "US",
            "telephone_number": "347-460-4253",
            "fax_number": "718-355-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW YORK KIDNEY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "SUTARIYA",
        "authorized_official_first_name": "DHARMESHKUMAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "347-360-4253",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "queenskidney@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3435 70th St",
            "city": "Jackson Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113721055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.