Organization Active NPI

Kidney Diseases and Hypertension Center LLC

  • Nephrology Physician
  • Monroe TWP, NJ
National Provider Identifier
1194150508
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY DISEASES AND HYPERTENSION CENTER LLC
Practice address
323 Spotswood Englishtown Rd
Monroe TWP, NJ 08831-8628
Phone
(732) 723-1000
Fax
(732) 416-0470
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dr. Deepali Prasad, M.D.NPI 1962607952
Title
Owner
Phone
(732) 723-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

323 Spotswood Englishtown Rd
Monroe TWP, NJ 08831-8628

Mailing address

323 Spotswood Englishtown Rd
Monroe TWP, NJ 08831-8628
Phone (732) 723-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131112000093 NJ Part B Supplier - Clinic/Group Practice 4587890025 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe TWP, NJ

National Provider Directory

National Provider Directory

Locations

323 Spotswood Englishtown Rd
Ste B
Monroe Twp, NJ 08831
Phone (732) 251-5050

913 W Inman Ave
Rahway, NJ 07065
Phone (732) 388-7999

Practitioners & affiliated clinicians

Practitioners 5

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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1194150508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SPOTSWOOD ENGLISHTOWN RD",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088318628",
            "telephone_number": "732-723-1000",
            "fax_number": "732-416-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SPOTSWOOD ENGLISHTOWN RD",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088318628",
            "telephone_number": "732-723-1000",
            "fax_number": "732-416-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DISEASES AND HYPERTENSION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "DEEPALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-723-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "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 Monroe TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.