EXCELLA MEDICINE PC
NPI 1417204736
Internal Medicine - Nephrology in New York, NY

Q: What is Excella Medicine PC's NPI number?

The NPI number for Excella Medicine PC is 1417204736. It was assigned to this organization in the NPPES registry on August 6, 2012.

Q: What is Excella Medicine PC's specialty?

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

Active since August 06, 2012

4915 BROADWAY SUITE 1G, NEW YORK, NY 10034(212) 544-9513(212) 544-0402 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Excella Medicine Pc NPPES

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

EXCELLA MEDICINE PC (NPI 1417204736) is a healthcare organization registered as a nephrology in New York, New York and active in the NPI registry since August 2012. The organization lists Michael Perez, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1417204736

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameEXCELLA MEDICINE PC

Location Address4915 BROADWAY SUITE 1GNew York, NY 10034-3122

Mailing Address4915 Broadway Suite 1gNew York, NY 10034-3122 · (212) 544-9513 · Fax (212) 544-0402

Phone(212) 544-9513

Fax(212) 544-0402

Organization SubpartNo

Authorized OfficialMichael PerezMedical Doctor · (212) 544-9513

Enumeration DateAugust 6, 2012

✔ NPI 1417204736 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 · 170543

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.

4915 BROADWAY SUITE 1G, New York, NY 10034

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Other Identifiers 1

Medicare UPINF00310NY

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

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 Excella Medicine PC's NPI number?

The NPI number for Excella Medicine PC is 1417204736. It was assigned to this organization in the NPPES registry on August 6, 2012.

Where is Excella Medicine PC located?

Excella Medicine PC is located at 4915 Broadway Suite 1G, New York, NY 10034. The listed phone number is (212) 544-9513.

What is Excella Medicine PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Excella Medicine PC was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.