ASSOCIATED MEDICAL GROUP, PC
NPI 1891937546
Internal Medicine - Nephrology in New York, NY

Active since March 27, 2009CLIA 33D0983553 · Waiver
37 NAGLE AVE APT 1D, NEW YORK, NY 10040(212) 942-0808(212) 942-1553 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Associated Medical Group, Pc NPPES

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

ASSOCIATED MEDICAL GROUP, PC (NPI 1891937546) is a healthcare organization registered as a nephrology in New York, New York and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Bienvenido Fajardo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1891937546
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBIENVENIDO FAJARDO, M.D.P.C.
Location Address37 NAGLE AVE APT 1DNew York, NY 10040
Mailing Address37 Nagle Ave Apt 1dNew York, NY 10040-1483 · (212) 942-0808 · Fax (212) 942-1553
Fax(212) 942-1553
Organization SubpartNo
Authorized OfficialBienvenido FajardoMedical Director · (212) 942-0808
Enumeration DateMarch 27, 2009
Last NPPES UpdateAugust 23, 2018
NPI 1891937546 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 · 163674
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.

37 NAGLE AVE APT 1D, New York, NY 10040

Other Names 1

Doing Business AsAssociated Medical Group, Pc

Other Identifiers 1

Medicaid01016260NY

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 of Waiver 33D0983553

Associated Medical Group PC · New York, NY
Active · expires Feb 25, 2027
CLIA Number33D0983553
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorDr. Bienvenido Fajardo
Laboratory Phone(212) 942-0808
Laboratory LocationAssociated Medical Group PC37 Nagle Avenue, New York, NY 10040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Internal Medicine
37 NAGLE AVE APT 1D
NEW YORK, NY 10040
Internal Medicine
37 NAGLE AVE APT 1D
NEW YORK, NY 10040
Nurse Practitioner (Family)
37 NAGLE AVE APT 1D
NEW YORK, NY 10040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891937546, enumerated as an "organization" on March 27, 2009.

The provider is located at 37 NAGLE AVE APT 1D NEW YORK, NY 10040 and the phone number is (212) 942-0808.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.