EASTERN SUFFOLK NEPHROLOGY PC NPI 1174602189

NPI Information

  • NPI: 1174602189
  • Provider Name: EASTERN SUFFOLK NEPHROLOGY, PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Other Name: PURSHOTAM NAGWANI, MD
  • Address: 758 HARRISON AVE
    RIVERHEAD, NY
    ZIP 11901
  • Phone: (631) 727-5112

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NPI Details

EASTERN SUFFOLK NEPHROLOGY, PC is a nephrology internal medicine in Riverhead, NY. 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. EASTERN SUFFOLK NEPHROLOGY, PC NPI is 1174602189. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Purshotam Nagwani, Md.

The provider's business location address is:

758 HARRISON AVE
RIVERHEAD, NY
ZIP 11901-744
Phone: (631) 727-5112
Fax: (631) 727-9061

The provider's authorized official is Purshotam Nagwani .
The authorized official title is Md and has the following contact phone number (631) 727-5112.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 6/18/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology143580NEW YORKYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WANV51MEDICARE PINNEW YORK

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: 11/21/2025

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