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QUEENS NASSAU NEPHROLOGY SERVICES PLLC
NPI 1992934467
Internal Medicine - Nephrology in Mineola, NY

Active since July 06, 2009
300 OLD COUNTRY ROAD, 111, MINEOLA, NY 11501(516) 745-0500(516) 745-1534 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1992934467) is a healthcare organization registered as a nephrology in Mineola, New York and active in the NPI registry since July 2009. The organization lists Andrey Goncharuk, President, as its authorized official.

NPPES Registry Identity

NPI1992934467
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 OfficialAndrey GoncharukPresident · (516) 745-0500
Enumeration DateJuly 6, 2009
Last NPPES UpdateDecember 5, 2014
✔ NPI 1992934467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 199896
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.
Also ListedInternal MedicineTaxonomy 207R00000X
300 OLD COUNTRY ROAD, Mineola, NY 11501
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Other Identifiers 4

Medicare PINA100023879
Medicare PINA100023879NY
Medicaid03340883NY
Medicare PING100121495

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

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
QUEENS NASSAU NEPHROLOGY SERVICES PLLC
Internal Medicine (Nephrology)
300 OLD COUNTRY ROAD, 111
MINEOLA, NY 11501
Nassau County (516) 745-0500
KLEIN GEIER LIPP MD LLP
Internal Medicine (Gastroenterology)
300 OLD COUNTRY ROAD, STE 31
MINEOLA, NY 11501
Nassau County (516) 294-9380

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 1992934467. It was assigned to this organization in the NPPES registry on July 6, 2009.

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 December 5, 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.