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Queens Nassau Nephrology Services Pllc

Nephrology Physician in Mineola, NY · enumerated 2009 · authorized official Andrey Goncharuk, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992934467

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Registry record

Entity type Organization (Type 2)
Legal business name Queens Nassau Nephrology Services Pllc
Practice address 300 Old Country Road, 111, Mineola, NY, 11501
Phone (516) 745-0500
Fax (516) 745-1534
Enumeration date Jul 6, 2009
Last updated in NPPES Dec 5, 2014

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 199896 (NY) Secondary
207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Andrey Goncharuk
Title President
Phone (516) 745-0500

Other identifiers

Identifier Type State Issuer
03340883 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-05. Verify at npiregistry.cms.hhs.gov.
Where is Queens Nassau Nephrology Services Pllc located?
The practice location on file with NPPES is in Mineola, NY.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-05.