Organization Active NPI

The Renal Care Clinic, P.C.

  • Nephrology Physician
  • Newton, NJ
National Provider Identifier
1225028251
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
THE RENAL CARE CLINIC, P.C.
Practice address
67 High St
Suite 102
Newton, NJ 07860-1705
Phone
(973) 579-5009
Fax
(973) 579-3009
NPI assigned
Oct 21, 2005
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Lakshmi Lavanya Sodagum, M.D.NPI 1265421283
Title
President
Phone
(973) 579-5009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

67 High St
Suite 102
Newton, NJ 07860-1705

Mailing address

PO Box 535
Budd Lake, NJ 07828
Phone (973) 579-5009

National Provider Directory

National Provider Directory

Locations

677 US Highway 46
Kenvil, NJ 07847
Phone (973) 252-1301

67 High St
Ste 102
Newton, NJ 07860
Phone (973) 579-5009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFIAD

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1225028251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "07828",
            "telephone_number": "973-579-5009",
            "fax_number": "973-579-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HIGH ST",
            "address_2": "SUITE 102",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601705",
            "telephone_number": "973-579-5009",
            "fax_number": "973-579-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RENAL CARE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "SODAGUM",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "LAVANYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-579-5009",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.