NPIMap

Individual provider Active NPI

Noel T Nivera, MD

  • Nephrology Physician
  • Eatontown, NJ
National Provider Identifier
1124034400
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA68739 Issued in NJ
Practice address
6 Industrial Way West
Ste B Hypertension & Nephrology Assoc
Eatontown, NJ 07724
Phone
(732) 460-1200
Fax
(732) 460-1211
NPI assigned
Jul 31, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA68739 NJ
Nephrology Physician 207RN0300X MA68739 NJ Primary

Addresses

Primary practice location

6 Industrial Way West
Ste B Hypertension & Nephrology Assoc
Eatontown, NJ 07724

Mailing address

6 Industrial Way West
Ste B Hypertension & Nephrology Assoc
Eatontown, NJ 07724
Phone (732) 460-1200

Other identifiers 2

IdentifierTypeStateIssuer
0980439MedicaidNJ
7892306MedicaidNJ

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
I20110209000540 NJ Practitioner - NephrologyPractitioner - Internal Medicine 9739188855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care CentersGroup PAC ID 6204279441, 23 clinicians

Practice addresses (Care Compare)

6 Industrial Way W
Suite B
Eatontown, NJ 07724-2258
Phone (732) 460-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA68739NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Centers Nephrology CurrentSince Feb 1, 2024 Accepting new patients

Locations

6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387

Interoperability endpoints

  • Direct secure messaging: nnivera40649@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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

Hospital & facility affiliations 12

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1124034400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 INDUSTRIAL WAY WEST",
            "address_2": "STE B HYPERTENSION & NEPHROLOGY ASSOC",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-460-1200",
            "fax_number": "732-460-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 INDUSTRIAL WAY WEST",
            "address_2": "STE B HYPERTENSION & NEPHROLOGY ASSOC",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "732-460-1200",
            "fax_number": "732-460-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVERA",
        "first_name": "NOEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA68739",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA68739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980439",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7892306",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.