REGIONAL NEPHROLOGY PLLC (NPI# 1154500866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154500866 |
| Entity Type | Organization |
| Organization Name | REGIONAL NEPHROLOGY PLLC |
| Practice Address |
30 Hatfield Ln Suite 208 Goshen NY 10924-6766 |
| Practice Telephone | 8452940994 |
| Practice Fax Number | 8456151376 |
| Mailing Telephone | 8452940994 |
| Mailing Fax Number | 8456151376 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |
| Authorized Official Name | BARRY S REITER (ADMIN) |
| Authorized Official Telephone | 9173356999 |
| Authorized Official Credential | CHBME |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
209161 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851500813 | Regional Nephrology Pllc | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2007-05-22 |
| Street Address |
30 HATFIELD LN SUITE 208 |
| City | GOSHEN |
| State | NY |
| Zip Code | 10924-6766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174511992 | Rachel Colvin | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2005-10-06 |
| 1154874139 | Madeleine Banulski Ziegler | Registered Nurse | 30 Hatfield Ln, Suite 101, Goshen, NY 10924 | 2016-07-26 |
| 1598130403 | Harriman Partners LLC | Clinic/Center | 30 Hatfield Ln, Bldg 2, Goshen, NY 10924-6783 | 2015-12-03 |
| 1548630494 | Michelle Dunn | Occupational Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2015-10-05 |
| 1518363530 | Julie Benzenberg | Physical Therapist | 30 Hatfield Ln, Suite 201, Goshen, NY 10924-6766 | 2014-11-18 |
| 1659702876 | Jessica Lee Altland | Dietitian, Registered | 30 Hatfield Ln, Suite 107, Goshen, NY 10924-6766 | 2013-12-13 |
| 1255676672 | Phillip Bautista | Physical Therapy Assistant | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2012-12-11 |
| 1093091134 | Gregory Redding | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-11-02 |
| 1619251006 | Shane Henderson | Physical Therapist | 30 Hatfield Ln, Suite 203, Goshen, NY 10924-6766 | 2011-10-04 |
| 1356640056 | Gloria Verdino | Dietitian, Registered | 30 Hatfield Ln, Suite 109, Goshen, NY 10924-6766 | 2011-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487127239 | Yessica Amadis | Counselor | 27 Matthews Street, Goshen, NY 10924 | 2019-01-04 |
| 1649752668 | Lucinda Figueroa | Social Worker | Orange Intensive Day Treatment @ Ouboces Ah Ed Center, 4 Harriman Drive, Goshen, NY 10924 | 2018-09-06 |
| 1619499365 | Grace Catherine Stieh | Speech-Language Pathologist | 1997 Ny-17m #9, Goshen, NY 10924 | 2017-07-14 |
| 1255738902 | Linda S. Miller | Behavioral Analyst | 60 Erie Street #6, Suite 304, Goshen, NY 10924 | 2014-11-24 |
| 1275963894 | Ellen Martin | Speech-Language Pathologist | 9a Maplewood Terrace, Goshen, NY 10924 | 2013-11-18 |
| 1578803854 | Shirley Johnson | Social Worker | 3 Hatfield Lane Valley Behavioral Medicine, Suite 1, Goshen, NY 10924 | 2013-02-22 |
| 1689933566 | Gloria Sanabria | Licensed Practical Nurse | 252 Main St., Wellness Home Care, Goshen, NY 10924 | 2012-05-11 |
| 1780955377 | Karen Ann Walczak | Registered Nurse | 56 Gibson Rd., Goshen, NY 10924 | 2012-01-13 |
| 1699067884 | Cherie Lee Meci | Occupational Therapy Assistant | 52 Gibson Rd., Rcce, Goshen, NY 10924 | 2011-05-06 |
| 1053617597 | James Francis Kohut | Social Worker | Rcpc 53 Gibson Road, Goshen, NY 10924 | 2011-02-01 |
| Find all providers in zip 10924 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104035237 | Sergio Henry Obligado | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2007-05-22 |
| 1851500813 | Regional Nephrology Pllc | Internal Medicine | 30 Hatfield Ln, Suite 208, Goshen, NY 10924-6766 | 2007-05-22 |
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| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.