Organization Active NPI

Nephrology Group of Northeast

  • Nephrology Physician
  • Jacksonville, FL
National Provider Identifier
1265594659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY GROUP OF NORTHEAST
Practice address
4131 University Blvd S
Suite 6
Jacksonville, FL 32216-4326
Phone
(904) 737-2722
Fax
(907) 737-2723
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gil A Cu, M.D.NPI 1558338343
Title
Senior Partner
Phone
(904) 737-2722

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 Primary

Addresses

Primary practice location

4131 University Blvd S
Suite 6
Jacksonville, FL 32216-4326

Mailing address

4131 University Blvd S
Suite 6
Jacksonville, FL 32216-4326
Phone (904) 737-2722

National Provider Directory

National Provider Directory

Locations

1525 Lime St
Fernandina, FL 32034
Phone (904) 396-1378

15255 Max Leggett Pkwy
Ste 5000
Jacksonville, FL 32218
Phone (904) 541-0315

Interoperability endpoints

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

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265594659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164326",
            "telephone_number": "904-737-2722",
            "fax_number": "907-737-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164326",
            "telephone_number": "904-737-2722",
            "fax_number": "907-737-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY GROUP OF NORTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CU",
        "authorized_official_first_name": "GIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "904-737-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.