Provider Demographics
NPI:1740382886
Name:NEPHROLOGY ASSOCIATES,P.C.
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARYTAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-931-5800
Mailing Address - Street 1:1874 PELHAM PKWY S
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3733
Mailing Address - Country:US
Mailing Address - Phone:718-931-5800
Mailing Address - Fax:718-518-7065
Practice Address - Street 1:1874 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3733
Practice Address - Country:US
Practice Address - Phone:718-931-5800
Practice Address - Fax:718-518-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00765673Medicaid
NY00765673Medicaid