Manhattan Renal Associate, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

216277 Issued in NY

Legal business name

MANHATTAN RENAL ASSOCIATE, P.C.

Practice address

80 5TH Ave
# 1605
New York, NY 10011-8002

Phone

(646) 543-6396

Fax

(212) 647-1931

NPI assigned

Mar 16, 2007

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul P Chang, MDNPI 1952390528

Title

President

Phone

(646) 543-6396

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Paul P Chang, MD

  • Specialist
  • New York, NY
  • NPI 1952390528
  Medicare reassignment NPD Authorized official
• David R Borenstein, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1144313750
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1982728143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 RIVER DR S",
            "address_2": "# 3209",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073103741",
            "telephone_number": "646-543-6396",
            "fax_number": "212-977-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "address_2": "# 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "646-543-6396",
            "fax_number": "212-647-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN RENAL ASSOCIATE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-543-6396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "216277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Manhattan Reproductive Medicine
• Manhattan Reproductive Surgery Center, LLC
• Manhattan Sleep Medicine and Neurology Consultant, PC (connecticut sleep medicine, PC)
• Manhattan Specialty Pharmacy RX LLC
• Manhattan Specialty RX Inc. (Manhattan Specialty Pharmacy)

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.