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MEDFORD DIALYSIS ACCESS P.C.
NPI 1205917804
Radiology - Vascular & Interventional Radiology in Medford, NY

Active since October 18, 2006
3241 ROUTE 112, BLDG #7, MEDFORD, NY 11763(631) 732-4600(631) 732-4656 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medford Dialysis Access P.c. NPPES

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

MEDFORD DIALYSIS ACCESS P.C. (NPI 1205917804) is a healthcare organization registered as a vascular & interventional radiology in Medford, New York and active in the NPI registry since October 2006. The organization lists Purshotam Lal Nagwani, President/owner, as its authorized official.

NPPES Registry Identity

NPI1205917804
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameMEDFORD DIALYSIS ACCESS P.C.
Location Address3241 ROUTE 112, BLDG #7Medford, NY 11763-1434
Mailing Address80 Hilldale RdAlbertson, NY 11507-2214 · (516) 640-5656 · Fax (516) 640-5656
Phone(631) 732-4600
Fax(631) 732-4656
Organization SubpartNo
Authorized OfficialPurshotam Lal NagwaniPresident/owner · (631) 732-4600
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205917804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3241 ROUTE 112, Medford, NY 11763
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDEAL HOME CARE STAFFING LLC
In Home Supportive Care
3241 ROUTE 112, BUILDING 7 SUITE 5
MEDFORD, NY 11763
Suffolk County (631) 509-5600

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 Medford Dialysis Access P.C.'s NPI number?

The NPI number for Medford Dialysis Access P.C. is 1205917804. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Medford Dialysis Access P.C. located?

Medford Dialysis Access P.C. is located at 3241 Route 112 Bldg #7, Medford, NY 11763. The listed phone number is (631) 732-4600.

What is Medford Dialysis Access P.C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Medford Dialysis Access P.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.