ALAN L NISSENBAUM MEDICAL SERVICES PC NPI 1528254067

NPI Information

  • NPI: 1528254067
  • Provider Name: ALAN L NISSENBAUM MEDICAL SERVICES PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 3915 AVENUE V # 104
    BROOKLYN, NY
    ZIP 11234
  • Phone: (718) 252-8440

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NPI Details

ALAN L NISSENBAUM MEDICAL SERVICES PC is a nephrology internal medicine in Brooklyn, NY. The provider is 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. ALAN L NISSENBAUM MEDICAL SERVICES PC NPI is 1528254067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3915 AVENUE V # 104
BROOKLYN, NY
ZIP 11234-156
Phone: (718) 252-8440

The provider's authorized official is Alan L Nissenbaum .
The authorized official title is President and has the following contact phone number (516) 877-4013.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology177636NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
135F782MEDICARE PIN
201851147MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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