QUEENS NASSAU NEPHROLOGY SERVICES PLLC
NPI 1770988909
Internal Medicine - Nephrology in Mineola, NY

Q: What is Queens Nassau Nephrology Services PLLC's specialty?

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

Active since October 30, 2014

300 OLD COUNTRY ROAD, 111, MINEOLA, NY 11501(516) 745-0500(516) 745-1534 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Queens Nassau Nephrology Services Pllc NPPES

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

QUEENS NASSAU NEPHROLOGY SERVICES PLLC (NPI 1770988909) is a healthcare organization registered as a nephrology in Mineola, New York and active in the NPI registry since October 2014. The organization lists Andre Goncharuck, President, as its authorized official.

NPPES Registry Identity

NPI1770988909

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameQUEENS NASSAU NEPHROLOGY SERVICES PLLC

Location Address300 OLD COUNTRY ROAD, 111Mineola, NY 11501-4112

Mailing Address300 Old Country Road, 111Mineola, NY 11501-4112 · (516) 745-0500 · Fax (516) 745-1534

Phone(516) 745-0500

Fax(516) 745-1534

Organization SubpartNo

Authorized OfficialAndre GoncharuckPresident · (516) 745-0500

Enumeration DateOctober 30, 2014

✔ NPI 1770988909 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.

300 OLD COUNTRY ROAD, Mineola, NY 11501

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Other Identifiers 3

Medicare PINA10002387NY

Medicare PING100121496NY

Medicaid03340883NY

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

Other Providers at the Same Location NPPES 6

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

JONATHAN D GOLDSTEIN MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

300 OLD COUNTRY ROAD
MINEOLA, NY 11501

Nassau County (516) 747-4404

PELVIC MUSCLE PHYSICAL THERAPY, PC

Physical Therapist

300 OLD COUNTRY ROAD, SUITE 201
MINEOLA, NY 11501

Nassau County (516) 367-6069

ORTHOPAEDIC CARE & SURGERY PC

Orthopaedic Surgery

300 OLD COUNTRY ROAD, STE 151
MINEOLA, NY 11501

Nassau County (516) 747-5700

CATHERINE MASTERSON PH.D.

Psychologist (Clinical)

300 OLD COUNTRY ROAD, SUITE 91
MINEOLA, NY 11501

Nassau County (516) 747-1844

KLEIN GEIER LIPP MD LLP

Internal Medicine (Gastroenterology)

300 OLD COUNTRY ROAD, STE 31
MINEOLA, NY 11501

Nassau County (516) 294-9380

QUEENS NASSAU NEPHROLOGY SERVICES PLLC

Internal Medicine (Nephrology)

300 OLD COUNTRY ROAD, 111
MINEOLA, NY 11501

Nassau County (516) 745-0500

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 Queens Nassau Nephrology Services PLLC's NPI number?

The NPI number for Queens Nassau Nephrology Services PLLC is 1770988909. It was assigned to this organization in the NPPES registry on October 30, 2014.

Where is Queens Nassau Nephrology Services PLLC located?

Queens Nassau Nephrology Services PLLC is located at 300 Old Country Road 111, Mineola, NY 11501. The listed phone number is (516) 745-0500.

What is Queens Nassau Nephrology Services PLLC'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 Queens Nassau Nephrology Services PLLC was last updated on October 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.