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is a medicare enrolled "Internal Medicine - Nephrology" provider in New York, New York. Their current practice location is 401 Park Ave S Ofc 915, New York, New York. You can reach out to their office (for appointments etc.) via phone at (347) 252-9771.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1235759234.

Contact Information

401 Park Ave S Ofc 915,
New York, NY 10016-8808
(347) 252-9771
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityInternal Medicine - Nephrology
Location401 Park Ave S Ofc 915, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235759234
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 07/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375960610
  • Enrollment ID: O20200901001021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235759234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1005XDietitian, Registered - Nutrition, Renal (* (Not Available))Secondary
163WC0400XRegistered Nurse - Case Management (* (Not Available))Secondary
163WN0300XRegistered Nurse - Nephrology (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Primary
261Q00000XClinic/center (* (Not Available))Secondary
261QE0700XClinic/center - End-stage Renal Disease (esrd) Treatment (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameJulianna Candela
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063848026
PECOS PAC ID: 5799081881
Enrollment ID: I20160316000918
Provider NameHaley D Justus
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1861896672
PECOS PAC ID: 9638565633
Enrollment ID: I20220330002405
Provider NameMatthew Kerr
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1659029585
PECOS PAC ID: 3476930371
Enrollment ID: I20220517002076
Provider NameTracy Rozansky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194487892
PECOS PAC ID: 6901288711
Enrollment ID: I20220726002539
Provider NameArielle Ferdinand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700312899
PECOS PAC ID: 5799026100
Enrollment ID: I20231107002137
Provider NameSyed Akhtar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710211669
PECOS PAC ID: 1153562376
Enrollment ID: I20240716003246
Provider NameMuhammad Sohaib
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1679972905
PECOS PAC ID: 3476861337
Enrollment ID: I20241024003738

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1600 Stout St Ste 2000, Attn Strive Health Credentialing Team,
Denver, CO 80202-3113

Ph: (980) 443-4852
401 Park Ave S Ofc 915,
New York, NY 10016-8808

Ph: (347) 252-9771

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.