Queens Nassau Nephrology Services PLLC
NPI 1992934467ActiveOrganization· Internal Medicine, Nephrology· Mineola, NY
Internal Medicine, Nephrology in Mineola, New York, registered in NPPES in July 2009. The authorized official on file is Andrey Goncharuk, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992934467 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2009 |
| Last updated in NPPES | Dec 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | NY |
| Internal Medicine | 207R00000X | — | NY |
| Internal Medicine, Nephrology | 207RN0300X | 199896 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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