MAIMONIDES MEDICAL CENTER - MAIMONIDES DIVISION OF RENAL MEDIC
NPI 1679676563
Internal Medicine - Nephrology in Brooklyn, NY

Active since September 06, 2006
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-8773 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maimonides Medical Center - Maimonides Division Of Renal Medic NPPES

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

MAIMONIDES MEDICAL CENTER - MAIMONIDES DIVISION OF RENAL MEDIC (NPI 1679676563) is a healthcare organization registered as a nephrology in Brooklyn, New York and active in the NPI registry since September 2006. The organization lists Sheldon Greenberg, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1679676563
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMAIMONIDES MEDICAL CENTER - MAIMONIDES DIVISION OF RENAL MEDIC
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing AddressGpo Box 27359New York, NY 10087-7359
Organization SubpartNo
Authorized OfficialSheldon GreenbergAuthorized Official · (718) 283-8773
Enumeration DateSeptember 6, 2006
Last NPPES UpdateFebruary 13, 2013
✔ NPI 1679676563 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.
4802 10TH AVE, Brooklyn, NY 11219

Other Identifiers 1

Medicare ID-Type UnspecifiedWES871NY

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maimonides Medical Center - Maimonides Division Of Renal Medic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Maimonides Medical Center - Maimonides Division Of Renal Medic, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nephrology
NPI 1366523839
4802 10TH AVE
Brooklyn, NY 11219
(718) 283-8773
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1831270305
4802 10TH AVE
Brooklyn, NY 11219
(718) 283-8773
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1154518199
4802 10TH AVE MAIMONIDES MEDICAL CENTRE
Brooklyn, NY 11219
(718) 283-6000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1265428528
953 49TH ST
Brooklyn, NY 11219
(718) 510-2557
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770071169
967 N BROADWAY
Yonkers, NY 10701
(914) 798-8971
✔ PECOS✔ Accepts Medicare23 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 Maimonides Medical Center - Maimonides Division Of Renal Medic's NPI number?

The NPI number for Maimonides Medical Center - Maimonides Division Of Renal Medic is 1679676563. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Maimonides Medical Center - Maimonides Division Of Renal Medic located?

Maimonides Medical Center - Maimonides Division Of Renal Medic is located at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8773.

What is Maimonides Medical Center - Maimonides Division Of Renal Medic's specialty?

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

Is Maimonides Medical Center - Maimonides Division Of Renal Medic enrolled in Medicare?

Yes. Maimonides Medical Center - Maimonides Division Of Renal Medic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maimonides Medical Center - Maimonides Division Of Renal Medic?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Maimonides Medical Center - Maimonides Division Of Renal Medic. 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. The largest specialties are Nephrology (4) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maimonides Medical Center - Maimonides Division Of Renal Medic was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.