Renal Medical Associates LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA70836 Issued in NJ

Legal business name

RENAL MEDICAL ASSOCIATES LLC

Practice address

745 Northfield Ave
Suite 1 Lower West Level
West Orange, NJ 07052

Phone

(973) 731-3800

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Andrew O Baddoo, M.DNPI 1881653608

Title

Physician

Phone

(973) 731-3800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/53393c7a-0b87-4dcb-bbca-68e82f45f8dc/

Practitioners 4

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.

• Andrew O Baddoo, M.D.

  • Internal Medicine Physician
  • West Orange, NJ
  • NPI 1881653608
  Medicare reassignment NPD Authorized official
• Josephine Pokuaa Frimpong, MSN-NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • East Orange, NJ
  • NPI 1427398239
  Medicare reassignment NPD
• Sonya L Goodrich, NP

  • Adult Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1053528356
  Medicare reassignment NPD
• Ginia Pierre, M.D.

  • Family Medicine Physician
  • Teaneck, NJ
  • NPI 1013953686
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205921194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BRISTOL RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "08854",
            "telephone_number": "732-547-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 NORTHFIELD AVE",
            "address_2": "SUITE 1 LOWER WEST LEVEL",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "07052",
            "telephone_number": "973-731-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BADDOO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-731-3800",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA70836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sean Patrick Reid, DPT
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• Specialist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.