DR. EUGENE PETRA MD NPI 1891773099

NPI Information

NPI: 1891773099
Provider Name: DR. EUGENE PETRA, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
1366 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 273-3400
Get Directions

DR. Eugene Petra, MD is a nephrology internal medicine in Staten Island, 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. DR. Eugene Petra, MD NPI is 1891773099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1366 VICTORY BLVD
STATEN ISLAND, NY
ZIP 10301-907
Phone: (718) 273-3400
Fax: (718) 727-3402

The enumeration date for this NPI number is 1/6/2006 and was last updated on 2/8/2008.

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
1	207RN0300X	Internal Medicine	Nephrology	181007	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
1	01444086	MEDICAID	NEW YORK
2	E62421	MEDICARE UPIN
3	EP062F1010	MEDICARE ID-TYPE UNSPECIFIED	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: 4/28/2024

NPI Synchronization or Removal

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