MOHAWK VALLEY NEPHROLOGY ASSOCIATES
NPI 1548287329
Internal Medicine - Nephrology in Utica, NY

Q: What is Mohawk Valley Nephrology Associates, LLP's specialty?

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

Active since July 16, 2006CLIA 33D0167387 · Microscopy

125 BUSINESS PARK DR STE 150, UTICA, NY 13502(315) 735-3541(315) 724-3255 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mohawk Valley Nephrology Associates NPPES

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

MOHAWK VALLEY NEPHROLOGY ASSOCIATES (NPI 1548287329) is a healthcare organization registered as a nephrology in Utica, New York and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Lorraine A Lane, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1548287329

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameMOHAWK VALLEY NEPHROLOGY ASSOCIATES, LLP

Location Address125 BUSINESS PARK DR STE 150Utica, NY 13502-6322

Mailing Address125 Business Park Dr Ste 150Utica, NY 13502-6322 · (315) 735-3541 · Fax (315) 724-3255

Phone(315) 735-3541

Fax(315) 724-3255

Organization SubpartNo

Authorized OfficialLorraine A LaneBilling Manager · (315) 724-3880

Enumeration DateJuly 16, 2006

Last NPPES UpdateSeptember 6, 2024

NPPES CertifiedSeptember 6, 2024

✔ NPI 1548287329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedInternal MedicineTaxonomy 207R00000X

125 BUSINESS PARK DR STE 150, Utica, NY 13502

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Other Names 1

Doing Business AsMohawk Valley Nephrology Associates

Other Identifiers 1

OtherDC5232NY · Railroad Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0167387

Mohawk Valley Nephrology Associates · New Hartford, NY

Active · expires Aug 31, 2026

CLIA Number33D0167387

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorIra Tisch MD

Laboratory Phone(315) 735-3541

Laboratory LocationMohawk Valley Nephrology Associates555 French Road, Suite 103, New Hartford, NY 13413

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

WILLIAM A GRABER MD PC

Surgery