METROPOLITAN NEPHROLOGY ASSOCIATES PC NPI 1043758790

NPI Information

  • NPI: 1043758790
  • Provider Name: METROPOLITAN NEPHROLOGY ASSOCIATES, PC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: METRO VASCULAR CENTER
  • Address: 235 N BROAD ST
    SUITE 100
    PHILADELPHIA, PA
    ZIP 19107
  • Phone: (215) 568-6822

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NPI Details

METROPOLITAN NEPHROLOGY ASSOCIATES, PC is an ambulatory surgical clinic center in Philadelphia, PA. METROPOLITAN NEPHROLOGY ASSOCIATES, PC NPI is 1043758790. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Metro Vascular Center.

The provider's business location address is:

235 N BROAD ST
SUITE 100
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 568-6822
Fax: (215) 568-6833

The provider's authorized official is Jennifer Maximenko .
The authorized official title is Facility Administrator and has the following contact phone number (215) 568-6822.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Removal of tunneled central venous tube (HCPCS:36589)

The enumeration date for this NPI number is 2/2/2017 and was last updated on 7/25/2018.

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
1207RI0011XInternal MedicineInterventional Cardiology22371501PENNSYLVANIANo
2207RN0300XInternal MedicineNephrology22371501PENNSYLVANIANo
32085R0204XRadiologyVascular & Interventional Radiology22371501PENNSYLVANIANo
42086S0129XSurgeryVascular Surgery22371501PENNSYLVANIANo
5261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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