Organization Active NPI

Internal Medicine and Nephrology of New York, PLLC

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1942317151
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
122374 Issued in NY
Legal business name
INTERNAL MEDICINE AND NEPHROLOGY OF NEW YORK, PLLC
Practice address
3327 Bainbridge Ave
Bronx, NY 10467-2801
Phone
(718) 881-5100
Fax
(718) 881-5700
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Janet U. Gorkin, M.D.
Title
Proprietor
Phone
(718) 881-5100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 122374 NY
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X 122374 NY Primary

Addresses

Primary practice location

3327 Bainbridge Ave
Bronx, NY 10467-2801

Mailing address

PO Box 318
New Rochelle, NY 10804-0318
Phone (718) 881-5100

Other identifiers 1

IdentifierTypeStateIssuer
00420948MedicaidNY

National Provider Directory

National Provider Directory

Locations

1515 Jarret Pl
Bronx, NY 10461
Phone (718) 822-4940

3327 Bainbridge Ave
Bronx, NY 10467
Phone (718) 324-6365

Practitioners & affiliated clinicians

Practitioners 1

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": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1942317151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 318",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108040318",
            "telephone_number": "718-881-5100",
            "fax_number": "718-881-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 BAINBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672801",
            "telephone_number": "718-881-5100",
            "fax_number": "718-881-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND NEPHROLOGY OF NEW YORK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "GORKIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "718-881-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "122374",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "122374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00420948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.