JERICHO NEPHROLOGY PLLC
NPI 1215869276
Internal Medicine - Nephrology in Jericho, NY

Active since June 02, 2026
14 TIOGA DR, JERICHO, NY 11753(917) 302-3909 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jericho Nephrology Pllc NPPES

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

JERICHO NEPHROLOGY PLLC (NPI 1215869276) is a healthcare organization registered as a nephrology in Jericho, New York and active in the NPI registry since June 2026. The organization lists Mandeep Kaur, Owner, as its authorized official.

NPPES Registry Identity

NPI1215869276
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameJERICHO NEPHROLOGY PLLC
Location Address14 TIOGA DRJericho, NY 11753-1930
Mailing Address14 Tioga DrJericho, NY 11753-1930 · (917) 302-3909
Organization SubpartNo
Authorized OfficialMandeep KaurOwner · (917) 302-3909
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1215869276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
14 TIOGA DR, Jericho, NY 11753

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Jericho Nephrology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jericho Nephrology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1568846657
8268 164TH ST
Jamaica, NY 11432
(718) 883-4050
✔ PECOS14 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 Jericho Nephrology PLLC's NPI number?

The NPI number for Jericho Nephrology PLLC is 1215869276. It was assigned to this organization in the NPPES registry on June 2, 2026.

Where is Jericho Nephrology PLLC located?

Jericho Nephrology PLLC is located at 14 Tioga Dr, Jericho, NY 11753. The listed phone number is (917) 302-3909.

What is Jericho Nephrology PLLC's specialty?

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

Is Jericho Nephrology PLLC enrolled in Medicare?

Yes. Jericho Nephrology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jericho Nephrology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Jericho Nephrology PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jericho Nephrology PLLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.