Organization Active NPI

Renal and Transplant Associates of New England, PC

  • Nephrology Physician
  • Springfield, MA
National Provider Identifier
1184179517
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
RENAL AND TRANSPLANT ASSOCIATES OF NEW ENGLAND, PC
Practice address
100 Wason Ave
Ste 200
Springfield, MA 01107-1381
Phone
(413) 733-9666
Fax
(413) 750-3432
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Robert S. Killin
Title
Chief Administrative Officer
Phone
(413) 733-9666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204F00000X
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

100 Wason Ave
Ste 200
Springfield, MA 01107-1381

Mailing address

100 Wason Ave
Ste 200
Springfield, MA 01107-1381
Phone (413) 733-9666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1184179517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVE",
            "address_2": "STE 200",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071381",
            "telephone_number": "413-733-9666",
            "fax_number": "413-750-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL AND TRANSPLANT ASSOCIATES OF NEW ENGLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "KILLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "413-733-9666"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Transplant Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.