EXCELLA MEDICINE PC NPI 1417204736

NPI Information

  • NPI: 1417204736
  • Provider Name: EXCELLA MEDICINE PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 4915 BROADWAY SUITE 1G
    NEW YORK, NY
    ZIP 10034
  • Phone: (212) 544-9513

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NPI Details

EXCELLA MEDICINE PC is a nephrology internal medicine in New York, 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. EXCELLA MEDICINE PC NPI is 1417204736. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4915 BROADWAY SUITE 1G
NEW YORK, NY
ZIP 10034-122
Phone: (212) 544-9513
Fax: (212) 544-0402

The provider's authorized official is Michael Perez .
The authorized official title is Medical Doctor and has the following contact phone number (212) 544-9513.

The enumeration date for this NPI number is 8/6/2012 and was last updated on 8/6/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology170543NEW 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
1F00310MEDICARE UPINNEW 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: 3/30/2025

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