BROOKDALE PLAZA NEPHROLOGY ASSOC. PC NPI 1396728986

NPI Information

NPI: 1396728986
Provider Name: BROOKDALE PLAZA NEPHROLOGY ASSOC. PC

Former Legal Business Name: BROOKDALE PLAZA NEPHROLOGY

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1 BROOKDALE PLZ
ROOM 169CHC
BROOKLYN, NY
ZIP 11212
Phone: (718) 240-5615
Get Directions

BROOKDALE PLAZA NEPHROLOGY ASSOC. PC is a nephrology internal medicine in Brooklyn, 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. BROOKDALE PLAZA NEPHROLOGY ASSOC. PC NPI is 1396728986. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Brookdale Plaza Nephrology.

The provider's business location address is:

1 BROOKDALE PLZ
ROOM 169CHC
BROOKLYN, NY
ZIP 11212-139
Phone: (718) 240-5615
Fax: (718) 485-4064

The provider's authorized official is Shyan-yih Chou .
The authorized official title is Vice President and has the following contact phone number (718) 240-5615.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 7/1/2013.

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
1	207RN0300X	Internal Medicine	Nephrology			Yes

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
1	00429410	MEDICAID	NEW YORK
2	0087129	OTHER	NEW YORK	AETNA US HEALTHCARE
3	W00561	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
4	0011077	OTHER	NEW YORK	GHI

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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