NPIMap

Organization Active NPI

Mercer Renal Associates PA

  • Nephrology Physician
  • Hamilton, NJ
National Provider Identifier
1265464309
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA05962800 Issued in NJ
Legal business name
MERCER RENAL ASSOCIATES PA
Practice address
1345 Kuser Rd
Suite 2
Hamilton, NJ 08619
Phone
(609) 585-1344
Fax
(609) 585-1355
NPI assigned
Jul 7, 2006
Last updated
May 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Afshin Hannani, MDNPI 1154353290
Title
Physician
Phone
(609) 585-1344

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: 193400000X SINGLE SPECIALTY GROUP 207RN0300X MA05962800 NJ Primary

Addresses

Primary practice location

1345 Kuser Rd
Suite 2
Hamilton, NJ 08619

Mailing address

PO Box 8422
Trenton, NJ 08650
Phone (609) 585-1344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060126000261 NJ Part B Supplier - Clinic/Group Practice 4385668912 Receives reassigned benefits from 3 practitioners
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1265464309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8422",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08650",
            "telephone_number": "609-585-1344",
            "fax_number": "609-585-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 KUSER RD",
            "address_2": "SUITE 2",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-585-1344",
            "fax_number": "609-585-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER RENAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "HANNANI",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-585-1344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA05962800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

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