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KIDNEY MEDICAL ASSOCIATES PLLC
NPI 1578933461
Specialist in Bronx, NY

Active since October 05, 2015CLIA 33D1049228 · Waiver
34 MARCONI ST STE 100, BRONX, NY 10461(718) 794-1200(718) 794-1222 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kidney Medical Associates Pllc NPPES

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

KIDNEY MEDICAL ASSOCIATES PLLC (NPI 1578933461) is a healthcare organization registered as a specialist in Bronx, New York and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through December 28, 2027 and lists Jo Scarano, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1578933461
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameKIDNEY MEDICAL ASSOCIATES PLLC
Location Address34 MARCONI ST STE 100Bronx, NY 10461-0379
Mailing Address34 Marconi St Ste 100Bronx, NY 10461-0379 · (718) 794-1200 · Fax (718) 794-1222
Phone(718) 794-1200
Fax(718) 794-1222
Organization SubpartNo
Authorized OfficialJo ScaranoPractice Administrator · (718) 794-1200
Enumeration DateOctober 5, 2015
Last NPPES UpdateMarch 31, 2026
NPPES CertifiedMarch 31, 2026
✔ NPI 1578933461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
34 MARCONI ST STE 100, Bronx, NY 10461
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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

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 of Waiver 33D1049228

Kidney Medical Associates PLLC · Bronx, NY
Active · expires Dec 28, 2027
CLIA Number33D1049228
Laboratory TypePhysician Office
Certificate Effective DateDecember 29, 2025
Certificate Expiration DateDecember 28, 2027
Laboratory DirectorDr. Gill L. Frei
Laboratory Phone(718) 794-1200
Laboratory LocationKidney Medical Associates PLLC34 Marconi Street, Suite 100, Bronx, NY 10461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kidney Medical Associates PLLC's NPI number?

The NPI number for Kidney Medical Associates PLLC is 1578933461. It was assigned to this organization in the NPPES registry on October 5, 2015.

Where is Kidney Medical Associates PLLC located?

Kidney Medical Associates PLLC is located at 34 Marconi St Ste 100, Bronx, NY 10461. The listed phone number is (718) 794-1200.

What is Kidney Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Kidney Medical Associates PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1049228) is associated with this NPI, valid through December 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kidney Medical Associates PLLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.