NPIMap

Individual provider Active NPI

Trina Doreen Banerjee, M.D.

  • Nephrology Physician
  • Mullica Hill, NJ
National Provider Identifier
1003042490
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA08934400 Issued in NJ
Practice address
5 Myers Drive
Unit 104
Mullica Hill, NJ 08062
Phone
(856) 431-6300
Fax
(856) 431-6310
NPI assigned
May 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA08934400 NJ Primary

Addresses

Primary practice location

5 Myers Drive
Unit 104
Mullica Hill, NJ 08062

Mailing address

5 Myers Drive
Unit 104
Mullica Hill, NJ 08062
Phone (856) 431-6300

Other identifiers 1

IdentifierTypeStateIssuer
0474339MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000369 NJ Practitioner - NephrologyPractitioner - Internal Medicine 9234308388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fernandes Banerjee Shenoy Kidney Center,LLCGroup PAC ID 6204164262, 3 clinicians

Practice addresses (Care Compare)

5 Myers Dr
Suite 104
Mullica Hill, NJ 08062-9517
Phone (856) 431-6300

Hospital & facility affiliations

  • DaVita Renal Center of Sewell Dialysis facility, Sewell, NJ, CCN 312565
  • FMC Swedesboro Dialysis facility, Swedesboro, NJ, CCN 312640
  • FMC Woodbury Dialysis facility, Woodbury, NJ, CCN 312534
  • DaVita Gloucester Dialysis Dialysis facility, Williamstown, NJ, CCN 312694
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08934400NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lyons and Chvala Nephrology Assoc. Nephrology CurrentSince Jul 6, 2011 Accepting new patients
Fernandes Banerjee Shenoy Kidney Center,LLC Nephrology CurrentSince Oct 21, 2019 Accepting new patients
Inspiring Change Nutrition LLC Past Accepting new patients

Locations

5 Myers Dr
Ste 105
Mullica Hill, NJ 08062
Phone (856) 431-6300

5 Myers Dr
Ste 104
Mullica Hill, NJ 08062
Phone (856) 431-6300

730 N Broad St
Ste 101
Woodbury, NJ 08096
Phone (856) 384-0238

219 N Broad St
Fl 7
Philadelphia, PA 19107
Phone (215) 751-0606

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/164776a0-ef92-46b0-b574-bc0e63ed9671/
  • Direct secure messaging: tbanerjee@lyonschvala.gwaydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1003042490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MYERS DRIVE",
            "address_2": "UNIT 104",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-431-6300",
            "fax_number": "856-431-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MYERS DRIVE",
            "address_2": "UNIT 104",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "08062",
            "telephone_number": "856-431-6300",
            "fax_number": "856-431-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "TRINA",
        "middle_name": "DOREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-31",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA08934400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474339",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

Verify at the official NPI Registry.