Main Street Kidney Group
NPI 1992383319ActiveOrganization· Internal Medicine, Nephrology· Freeport, NY
Internal Medicine, Nephrology in Freeport, New York, registered in NPPES in March 2021. The authorized official on file is Iheanyichukwu Aja-Onu, MD, Ceo.
Overview
| NPI | 1992383319 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2021 |
| Last updated in NPPES | Mar 29, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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