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LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC NPI 1811179476


NPI Information

NPI: 1811179476
Provider Name: LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
102 JAMES ST
SUITE 302
EDISON, NJ
ZIP 08820
Phone: (732) 205-1977
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LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC is a nephrology internal medicine in Edison, 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. LUCA DE SIMONE KIDNEY DISEASE SPECIALISTS LLC NPI is 1811179476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

102 JAMES ST
SUITE 302
EDISON, NJ
ZIP 08820-970
Phone: (732) 205-1977
Fax: (732) 205-0052

The provider's authorized official is Luca De Simone .
The authorized official title is Owner and has the following contact phone number (732) 205-1977.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/5/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology25MA07410900NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H72122MEDICARE UPINNEW 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

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