MAIN STREET KIDNEY GROUP – NPI #1992383319
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.

Health Care Provider Taxonomy Code for Internal Medicine

MAIN STREET KIDNEY GROUP is a provider located in FREEPORT, NY. NPPES has assigned the NPI number 1992383319 to MAIN STREET KIDNEY GROUP on March 29, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 MAIN STREET KIDNEY GROUP below.

NPI Profile for
MAIN STREET KIDNEY GROUP

NPI Number
1992383319
Enumeration Date

(more than 5 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
MAIN STREET KIDNEY GROUP
Primary location
3 N MAIN ST
FREEPORT, NY 11520-2218
Phone: (516) 623-5076 Fax:
Mailing address
PO BOX 37216
ELMONT, NY 11003-7216
Phone: (516) 623-5076 Fax: (516) 623-0312
Organization Subpart
No
Authorized Official
IHEANYICHUKWU AJA-ONU
CEO
Phone: (516) 623-5076
Updated
Certification Date
Mar 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.