Organization Active NPI

Haddon Renal Medical Specialists, PA

  • Nephrology Physician
  • Cherry Hill, NJ
National Provider Identifier
1275563595
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HADDON RENAL MEDICAL SPECIALISTS, PA
Practice address
401 Kings Hwy S
Building 5
Cherry Hill, NJ 08034-2500
Phone
(856) 428-8992
Fax
(856) 428-9614
NPI assigned
Jul 3, 2006
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Julia Nance
Title
Office Manager
Phone
(856) 428-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

401 Kings Hwy S
Building 5
Cherry Hill, NJ 08034-2500

Mailing address

401 Kings Hwy S
Building 5
Cherry Hill, NJ 08034-2500
Phone (856) 428-8992

Other identifiers 1

IdentifierTypeStateIssuer
2651700MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1275563595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KINGS HWY S",
            "address_2": "BUILDING 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342500",
            "telephone_number": "856-428-8992",
            "fax_number": "856-428-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KINGS HWY S",
            "address_2": "BUILDING 5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342500",
            "telephone_number": "856-428-8992",
            "fax_number": "856-428-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDON RENAL MEDICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-428-8992"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2651700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.