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MAIN STREET KIDNEY GROUP
NPI 1992383319
Internal Medicine - Nephrology in Freeport, NY

Active since March 29, 2021
3 N MAIN ST, FREEPORT, NY 11520(516) 623-5076 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Kidney Group NPPES

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

MAIN STREET KIDNEY GROUP (NPI 1992383319) is a healthcare organization registered as a nephrology in Freeport, New York and active in the NPI registry since March 2021. The organization lists Iheanyichukwu Aja-onu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992383319
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMAIN STREET KIDNEY GROUP
Location Address3 N MAIN STFreeport, NY 11520-2218
Mailing AddressPo Box 37216Elmont, NY 11003-7216 · (516) 623-5076 · Fax (516) 623-0312
Phone(516) 623-5076
Organization SubpartNo
Authorized OfficialIheanyichukwu Aja-onuCeo · (516) 623-5076
Enumeration DateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
✔ NPI 1992383319 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.
3 N MAIN ST, Freeport, NY 11520
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MAIN STREET DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3 N MAIN ST
FREEPORT, NY 11520
Nassau County (516) 825-2076
IHEANYICHUKWU AJA-ONU M.D.
Internal Medicine (Gastroenterology)
3 N MAIN ST
FREEPORT, NY 11520
Nassau County (516) 623-5076

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 Main Street Kidney Group's NPI number?

The NPI number for Main Street Kidney Group is 1992383319. It was assigned to this organization in the NPPES registry on March 29, 2021.

Where is Main Street Kidney Group located?

Main Street Kidney Group is located at 3 N Main St, Freeport, NY 11520. The listed phone number is (516) 623-5076.

What is Main Street Kidney Group'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 Main Street Kidney Group was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.