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SHORE NEPHROLOGY PA. NPI 1003926171


NPI Information

NPI: 1003926171
Provider Name: SHORE NEPHROLOGY PA.

Former Legal Business Name: HUQ ,CRUZ AND STRAUSS MD.PA

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 31D1009602

Address:
2100 CORLIES AVE
SUITE 15
NEPTUNE, NJ
ZIP 07753
Phone: (732) 988-8228
Get Directions

SHORE NEPHROLOGY PA. is a nephrology internal medicine in Neptune, NJ. 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. SHORE NEPHROLOGY PA. NPI is 1003926171. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Huq ,cruz And Strauss Md.pa.

The provider's business location address is:

2100 CORLIES AVE
SUITE 15
NEPTUNE, NJ
ZIP 07753-102
Phone: (732) 988-8228
Fax: (732) 451-0059

The provider's authorized official is Mustak Rahman .
The authorized official title is Billing Coding Manager and has the following contact phone number (732) 455-5398.

The CLIA number assigned to this NPI record is 31D1009602 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 4/25/2013.


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 MedicineNephrologyNEW JERSEYYes

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
12949806MEDICAIDNEW JERSEY
2CF5059OTHERNEW JERSEYUNITEDHEALTHCARE
30115117000OTHERNEW JERSEYAMERIHEALTH
4535699MEDICARE PINNEW JERSEY

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: 5/5/2024

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