ASSOCIATED MEDICAL GROUP, PC – NPI #1891937546
Internal Medicine

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.

ASSOCIATED MEDICAL GROUP, PC is a provider located in NEW YORK, NY. NPPES has assigned the NPI number 1891937546 to ASSOCIATED MEDICAL GROUP, PC on March 27, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ASSOCIATED MEDICAL GROUP, PC” is a dba name, the actual legal business name for this organization is BIENVENIDO FAJARDO, M.D.P.C.. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Aug 23, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASSOCIATED MEDICAL GROUP, PC below.

NPI Profile for
BIENVENIDO FAJARDO, M.D.P.C.

NPI Number
1891937546
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BIENVENIDO FAJARDO, M.D.P.C.
Doing Business As (dba): ASSOCIATED MEDICAL GROUP, PC
Primary location
37 NAGLE AVE APT 1D
NEW YORK, NY 10040
Phone: (212) 942-0808 Fax: (212) 942-1553
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BIENVENIDO FAJARDO
MEDICAL DIRECTOR
Phone: (212) 942-0808
Updated
Identifiers

Identifiers for ASSOCIATED MEDICAL GROUP, PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01016260
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
NY 163674

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.