EXCELLA MEDICINE PC NPI 1417204736

NPI Information

NPI: 1417204736
Provider Name: EXCELLA MEDICINE PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4915 BROADWAY SUITE 1G
NEW YORK, NY
ZIP 10034
Phone: (212) 544-9513
Get Directions

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
1	207RN0300X	Internal Medicine	Nephrology	170543	NEW YORK	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	F00310	MEDICARE UPIN	NEW 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: 11/14/2023

NPI Synchronization or Removal

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