QUEENS NEPHROLOGY PRACTICE, PC
NPI 1093070500
Internal Medicine - Nephrology in Fresh Meadows, NY

Active since July 10, 2012
16040 78TH RD, 3RD FLOOR, FRESH MEADOWS, NY 11366(347) 475-0911(718) 380-3441 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Queens Nephrology Practice, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUEENS NEPHROLOGY PRACTICE, PC (NPI 1093070500) is a healthcare organization registered as a nephrology in Fresh Meadows, New York and active in the NPI registry since July 2012. The organization lists Narayan D Agrawal, President, as its authorized official.

NPPES Registry Identity

NPI1093070500
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameQUEENS NEPHROLOGY PRACTICE, PC
Location Address16040 78TH RD, 3RD FLOORFresh Meadows, NY 11366-1945
Mailing Address16040 78th Rd, 3rd FloorFresh Meadows, NY 11366-1945 · (347) 475-0911 · Fax (718) 380-3441
Fax(718) 380-3441
Organization SubpartNo
Authorized OfficialNarayan D AgrawalPresident · (347) 475-0911
Enumeration DateJuly 10, 2012
Last NPPES UpdateAugust 8, 2014
✔ NPI 1093070500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 225128
Definition
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.
16040 78TH RD, Fresh Meadows, NY 11366

Other Identifiers 2

Medicaid02559795NY
Medicare UPINI13772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Queens Nephrology Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Queens Nephrology Practice, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nephrology
NPI 1568438570
160 - 40 78TH ROAD 2ND FLOOR
Fresh Meadows, NY 11366
(347) 475-0911
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1104396514
16040 78TH RD
Fresh Meadows, NY 11366
(347) 475-0911
✔ PECOSSame address
Nephrology
NPI 1609266956
16040 78TH RD
Fresh Meadows, NY 11366
(347) 475-0911
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1619473915
2158 ATLANTIC AVE APT 4F
Brooklyn, NY 11233
(631) 507-4864
✔ PECOS✔ Accepts Medicare6.5 mi
Nephrology
NPI 1255746855
26 RESEARCH WAY
East Setauket, NY 11733
(631) 444-0580
✔ PECOS✔ Accepts Medicare40 mi
Nephrology
NPI 1992066294
4021 AVENUE B
Scottsbluff, NE 69361
(308) 635-3711
✔ PECOS✔ Accepts Medicare1,546 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queens Nephrology Practice, PC's NPI number?

The NPI number for Queens Nephrology Practice, PC is 1093070500. It was assigned to this organization in the NPPES registry on July 10, 2012.

Where is Queens Nephrology Practice, PC located?

Queens Nephrology Practice, PC is located at 16040 78th Rd 3rd Floor, Fresh Meadows, NY 11366. The listed phone number is (347) 475-0911.

What is Queens Nephrology Practice, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Queens Nephrology Practice, PC enrolled in Medicare?

Yes. Queens Nephrology Practice, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Queens Nephrology Practice, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Queens Nephrology Practice, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (5) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Queens Nephrology Practice, PC was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.