KIDNEY CARE OF BROOKLYN AND QUEENS, PLLC (NPI# 1588002315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588002315 |
Entity Type | Organization |
Organization Name | KIDNEY CARE OF BROOKLYN AND QUEENS, PLLC |
Practice Address |
255 W 84th St New York NY 10024-4321 |
Mailing Address |
421 8th Ave Po Box 450 New York NY 10001-7800 |
Practice Telephone | 9177969636 |
Mailing Telephone | 9177969636 |
Enumeration Date | 2013-06-14 |
Last Update Date | 2013-06-14 |
Authorized Official Name | NEAL MITTMAN (OWNER - PRESIDENT) |
Authorized Official Telephone | 9177969636 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
136867 | NY | Allopathic & Osteopathic Physicians |
Street Address |
255 W 84TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10024-4321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326048513 | Eugene Wolf | Internal Medicine | 255 W 84th St, New York, NY 10024-4321 | 2005-07-28 |
1538582929 | Sara Newman | Lactation Consultant, Non-RN | 255 W 84th St, Apt 8e, New York, NY 10024-4321 | 2014-01-21 |
1750597506 | Shulamith Rachel Sakin-wolf | Psychoanalyst | 255 W 84th St, 5e, New York, NY 10024-4321 | 2007-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
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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 |
---|---|---|---|---|
1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
1619339785 | Manhattan Nephrology and Critical Care Pllc | Internal Medicine | 116 E 124th St, New York, NY 10035-1933 | 2016-03-28 |
1679947162 | Valmond Medical Pllc | Internal Medicine | 206 E. 76th St. Suite M2, New York, NY 10021 | 2015-11-20 |
1821489600 | Alan D Lavine | Internal Medicine | 80 Riverside Blvd Apt 16b, New York, NY 10069-0315 | 2015-02-14 |
1245633825 | Celeste Sharon Chang | Internal Medicine | 139 Centre St Ste 703, New York, NY 10013-4557 | 2014-09-26 |
1316368061 | Lili Chan | Internal Medicine | 1249 5th Avene, New York, NY 10029 | 2013-12-25 |
1417204736 | Excella Medicine PC | Internal Medicine | 4915 Broadway Suite 1g, New York, NY 10034-3122 | 2012-08-06 |
1265716906 | Simone Sanna Cherchi | Internal Medicine | 622 W 168th St Ph 4-124, New York, NY 10032-3720 | 2011-09-29 |
1245559442 | Jennifer S Scherer | Internal Medicine | 462 1st Ave # Bcd676, Nyu Langone Medical Center, New York, NY 10016-9196 | 2010-05-27 |
1427218684 | Muthukumar Thangamani | Internal Medicine | 525 E 68 Street, Division of Nephrology Box 3, New York, NY 10021 | 2008-06-11 |
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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.