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STAMFORD NEPHROLOGY P.C. NPI 1609800606


NPI Information

NPI: 1609800606
Provider Name: STAMFORD NEPHROLOGY, P.C.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 07D1074068

Address:
30 COMMERCE RD
STAMFORD, CT
ZIP 06902
Phone: (203) 324-7666
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STAMFORD NEPHROLOGY, P.C. is a nephrology internal medicine in Stamford, CT. The provider is 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. STAMFORD NEPHROLOGY, P.C. NPI is 1609800606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 COMMERCE RD
STAMFORD, CT
ZIP 06902-550
Phone: (203) 324-7666

The provider's authorized official is Tamiko Fleming .
The authorized official title is Office Manager and has the following contact phone number (203) 324-7666.

The CLIA number assigned to this NPI record is 07D1074068 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H01349MEDICARE UPINCONNECTICUT
2110008325MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
3110005259MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
4001394692MEDICAIDCONNECTICUT
5390000073MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
6E53268MEDICARE UPINCONNECTICUT
70012891040MEDICAIDCONNECTICUT
8000129151MEDICAIDCONNECTICUT
9C30361MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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