Organization Active NPI

Nimesh Patel

  • Nephrology Physician
  • Astoria, NY
National Provider Identifier
1952380156
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
226322 Issued in NY
Legal business name
NIMESH PATEL
Practice address
3415 31St Ave
Astoria, NY 11106-1450
Phone
(718) 932-9070
Fax
(718) 278-6613
NPI assigned
Jan 16, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Nimesh Patel, MDNPI 1588643779
Title
Sole Proprieter
Phone
(917) 502-9485

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 Physician 207RN0300X 226322 NY Primary

Addresses

Primary practice location

3415 31St Ave
Astoria, NY 11106-1450

Mailing address

10844 63Rd Dr
Forest Hills, NY 11375-1410
Phone (917) 502-9485

Other identifiers 1

IdentifierTypeStateIssuer
02391211MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1952380156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10844 63RD DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751410",
            "telephone_number": "917-502-9485",
            "fax_number": "718-897-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061450",
            "telephone_number": "718-932-9070",
            "fax_number": "718-278-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMESH PATEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "917-502-9485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "226322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02391211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.