Laurel Kidney Specialists,P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD-040257L Issued in PA

Legal business name

LAUREL KIDNEY SPECIALISTS,P.C.

Practice address

350 Budfield St
Johnstown, PA 15904-3214

Phone

(814) 266-9919

Fax

(814) 266-0499

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Faina Gurevich, MDNPI 1457535031

Title

Owner

Phone

(814) 266-9919

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Sunil K. Soi, M.D.,P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Faina Gurevich, M.D.

  • Nephrology Physician
  • Johnstown, PA
  • NPI 1457535031
  Medicare reassignment Care Compare group NPD Authorized official
• Karim W Bitar, M.D.

  • Nephrology Physician
  • Hershey, PA
  • NPI 1609032523
  Medicare reassignment Care Compare group NPD
• Anton Y Verbine, MD

  • Nephrology Physician
  • Johnstown, PA
  • NPI 1881038990
  Medicare reassignment Care Compare group NPD
• Jeremy M. Sotosky, PA-C

  • Medical Physician Assistant
  • Johnstown, PA
  • NPI 1619460722
  Medicare reassignment
• Pamela Marie Sopata, RD, LDN

  • Renal Nutrition Registered Dietitian
  • Johnstown, PA
  • NPI 1821386418
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1942374277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043214",
            "telephone_number": "814-266-9919",
            "fax_number": "814-266-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BUDFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043214",
            "telephone_number": "814-266-9919",
            "fax_number": "814-266-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL KIDNEY SPECIALISTS,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "GUREVICH",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-266-9919",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD-040257L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "227425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "390008059",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "125085",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1034448",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE SHIELD",
            "identifier": "2121305000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "691538",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012593800007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunil K. Soi, M.D.,P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laurel Cardiology PC
• Laurel Group Anesthesia PC
• Laurel Highlands Advanced Imaging, LLC
• Laurel Highlands Hearing & Balance, LLC
• Laurel Highlands Neuro-Rehabilitation
• Laurel Medical Supplies, Inc. (Golden Orthotics and Prothetics)
• Laurel Pediatric Associates Inc
• Laurel Urology Inc
• Martina B Laurito, LCSW
• David Francis Lawless, MD

• Nephrology Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.