NPIMap

Organization Active NPI

Long Island Hypertension and Nephrology, PLLC

  • Nephrology Physician
  • Port Washington, NY
National Provider Identifier
1962449967
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
LONG ISLAND HYPERTENSION AND NEPHROLOGY, PLLC
Practice address
50 Seaview Blvd
Port Washington, NY 11050-4618
Phone
(516) 484-6093
Fax
(516) 484-6180
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Lionel U Mailloux, MDNPI 1538130992
Title
Managing Member
Phone
(516) 484-6093

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

50 Seaview Blvd
Port Washington, NY 11050-4618

Mailing address

50 Seaview Blvd
Port Washington, NY 11050-4618
Phone (516) 484-6093

Other identifiers 1

IdentifierTypeStateIssuer
W38161OtherNYMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1962449967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SEAVIEW BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504618",
            "telephone_number": "516-484-6093",
            "fax_number": "516-484-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SEAVIEW BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504618",
            "telephone_number": "516-484-6093",
            "fax_number": "516-484-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND HYPERTENSION AND NEPHROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MAILLOUX",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "516-484-6093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W38161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.