New Jersey Kidney Care LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEW JERSEY KIDNEY CARE LLC

Practice address

26 Greenville Ave
Jersey City, NJ 07305-2608

Phone

(201) 333-8222

Fax

(201) 333-0095

NPI assigned

Nov 4, 2016

Last updated

Jul 24, 2024By 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

Ryan Valle

Title

President

Phone

(781) 699-9362

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 15

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.

• Gady Berkovich, APN

  • Nurse Practitioner
  • Jersey City, NJ
  • NPI 1255883716
  Medicare reassignment Care Compare group NPD
• Narender Goel, M.D.

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1710131537
  Medicare reassignment Care Compare group NPD
• Denise E Goodman, NP-C

  • Nurse Practitioner
  • Union City, NJ
  • NPI 1730449505
  Medicare reassignment Care Compare group NPD
• Bassam M Haddad, M.D

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1790784510
  Medicare reassignment Care Compare group NPD
• Danny B Haddad, MD

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1235351297
  Medicare reassignment Care Compare group NPD
• Lochana Manandhar, M.D.

  • Nephrology Physician
  • Union City, NJ
  • NPI 1801121389
  Medicare reassignment Care Compare group NPD
• Varsha Vallapuzha Suresh

  • Nephrology Physician
  • Jersey City, NJ
  • NPI 1508327206
  Medicare reassignment Care Compare group NPD
• Songyi-Rebecca Ting, APN

  • Family Nurse Practitioner
  • Jersey City, NJ
  • NPI 1689301228
  Medicare reassignment Care Compare group NPD
• Jiwanjot Narula, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1518158880

  NJ

  Medicare reassignment Care Compare group NPD
• Vaughn W Folkert, MD

  • Nephrology Physician
  • Bronx, NY
  • NPI 1245320084
  NPD
• Chiarra Marie Ornillo, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1619260791
  NPD
• Anna T. Laryea, RD,CDE

  • Registered Dietitian
  • Jersey City, NJ
  • NPI 1154350916
  NPD (past)

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1194277392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 GREENVILLE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052608",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 31st St Bsmt",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070873907",
            "country_code": "US",
            "telephone_number": "201-866-3322",
            "fax_number": "201-866-2289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Jersey Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073024396",
            "country_code": "US",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023054",
            "country_code": "US",
            "telephone_number": "201-333-8222",
            "fax_number": "201-333-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW JERSEY KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-699-9362"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0595594",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Jersey City, NJ
• Providers in Jersey City, 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 Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.