NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY NPI 1568409464

NPI Information

NPI: 1568409464
Provider Name: NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
721 N BEERS ST
SUITE 1F
HOLMDEL, NJ
ZIP 07733
Phone: (732) 888-9100
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NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY is a nephrology internal medicine in Holmdel, 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. NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY NPI is 1568409464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

721 N BEERS ST
SUITE 1F
HOLMDEL, NJ
ZIP 07733-518
Phone: (732) 888-9100
Fax: (732) 888-5515

The provider's authorized official is Jean A. Otrakji .
The authorized official title is President and has the following contact phone number (732) 888-9100.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 3/23/2011.

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
1	207RN0300X	Internal Medicine	Nephrology	25MA04735600	NEW JERSEY	Yes

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
1	000695310	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	6940803	MEDICAID	NEW 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: 11/14/2023

NPI Synchronization or Removal

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