Organization Active NPI

H & Z Renal Care LLC

  • Nephrology Physician
  • St Augustine, FL
National Provider Identifier
1134465685
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
H & Z RENAL CARE LLC
Practice address
52 Tuscan Way
Suite 202 #350
St Augustine, FL 32092-1850
Phone
(646) 331-7106
NPI assigned
Jan 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Anjum Ehteshamul, M.D.
Title
Physician
Phone
(904) 824-8158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

52 Tuscan Way
Suite 202 #350
St Augustine, FL 32092-1850

Mailing address

52 Tuscan Way
Suite 202 #350
St Augustine, FL 32092-1850

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1134465685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TUSCAN WAY",
            "address_2": "SUITE 202 #350",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TUSCAN WAY",
            "address_2": "SUITE 202 #350",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921850",
            "telephone_number": "646-331-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & Z RENAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "EHTESHAMUL",
        "authorized_official_first_name": "ANJUM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-824-8158",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.