Organization provider

QUEENS NEPHROLOGY PRACTICE, PC

Nephrology Physician Medicare enrolled

QUEENS NEPHROLOGY PRACTICE, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1093070500, based in Fresh Meadows, NY. It is classified under Nephrology Physician.

Getting there

The practice address on file is 16040 78TH RD 3RD FLOOR, Fresh Meadows, NY 11366. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

16040 78TH RD 3RD FLOOR, Fresh Meadows, NY 11366 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
225128 NY Nephrology Physician primary

This provider holds licence 225128 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
3779735519
Enrollment ID
O20121130000395

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nephrology covers

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. NUCC Health Care Provider Taxonomy, code 207RN0300X
Allopathic & Osteopathic Physicians Internal Medicine Nephrology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1093070500 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 10, 2012
Last updatedAug 8, 2014
StatusActive
Practice address 16040 78TH RD
3RD FLOOR
Fresh Meadows, NY 11366
(347) 475-0911
Fax (718) 380-3441
Other identifiers 02559795 · Medicaid (NY)
This record was last updated on Aug 8, 2014, roughly 12 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1093070500 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 9 3 0 7 0 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 9 3 0 7 0 5 0

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1093070500?
NPI 1093070500 is the National Provider Identifier assigned to QUEENS NEPHROLOGY PRACTICE, PC in Fresh Meadows, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nephrology cover?
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.
How do I contact QUEENS NEPHROLOGY PRACTICE, PC?
The phone number on file with NPPES is (347) 475-0911, last updated Aug 8, 2014. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does QUEENS NEPHROLOGY PRACTICE, PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1093070500 a valid number?
Yes. 1093070500 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.