JK Nephrology and Hypertension LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

JK NEPHROLOGY AND HYPERTENSION LLC

Practice address

1590 Lemoine Ave Ste 102
Fort Lee, NJ 07024-5634

Phone

(201) 491-0050

NPI assigned

May 3, 2022

Last updated

Jun 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John S Kang, MDNPI 1427459734

Title

Owner

Phone

(201) 491-0050

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Sineuk Kang, M.D.

  • Nephrology Physician
  • Bronx, NY
  • NPI 1427459734

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1003551169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 LEMOINE AVE STE 102",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245634",
            "telephone_number": "201-491-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 LEMOINE AVE STE 102",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245634",
            "telephone_number": "201-491-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Lemoine Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fort Lee",
            "state": "NJ",
            "postal_code": "070245636",
            "country_code": "US",
            "telephone_number": "201-970-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JK NEPHROLOGY AND HYPERTENSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2023-06-01",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-491-0050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815829",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "mdland.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1608 Lemoine Ave Ste 203",
            "city": "Fort Lee",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070245636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louis Jerome, DMD
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• David Jin, D.D.S.
• SE Min Jin
• Joel D Singer DMD
• John Kim MD Med & Geriatrics, LLC (John Kim ,MD Internal Medicine & Geriatrics)
• John T. Miele, PH.D.
• Victoria Lecorian Johnson, M.D.
• Joint & Spine Physical Therapy PC

• Nephrology Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.