Active NPIOrganization

Kidney Care PA

Internal Medicine, Nephrology in Maplewood, New Jersey

NPI Number1871918615
Practice location
2130 Millburn Ave, Suite C3, Maplewood, NJ 07040-3725
Fax
973-763-2558
Last updated
April 16, 2015

Kidney Care PA is a healthcare organization based in Maplewood, NJ. Kidney Care PA practices in Maplewood, NJ. The NPI Number for Kidney Care PA is 1871918615 and holds a License No. 25ma08683000 (NJ). The current practice location address for Kidney Care PA is 2130 Millburn Ave, Suite C3, Maplewood, NJ 07040-3725 and can be reached out via phone at 973-996-2727 and via fax at 973-763-2558.

Provider Profile Details

NPI Number
1871918615
Provider Name
Kidney Care PA
Provider Entity Type
Organization
Address
2130 Millburn Ave, Suite C3, Maplewood, NJ 07040-3725
Phone Number
973-996-2727
Fax Number
973-763-2558
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Organization Subpart
No
Authorized Official
Dr. Simon V Segun, MD · MD · 973-996-2727
Provider Enumeration Date
March 4, 2014
Last Update Date
April 16, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
2130 Millburn Ave
Suite C3
Maplewood, NJ 07040-3725
Zip
07040-3725
Phone Number
973-996-2727
Fax Number
973-763-2558
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
Po Box 373
Short Hills, NJ 07078-2152
City
Short Hills
State
NJ
Zip
07078-2152
Phone Number
973-373-0903
Fax Number
973-373-1087

License Information

License Number
25ma08683000
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kidney Care PA?

The NPI number of Kidney Care PA is 1871918615. It was assigned on March 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Kidney Care PA?

Kidney Care PA is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number 25ma08683000.

Where does Kidney Care PA practice?

The practice location is 2130 Millburn Ave, Suite C3, Maplewood, NJ 07040-3725. The office can be reached at 973-996-2727 (phone) or 973-763-2558 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871918615 directly on the NPPES registry website.

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