Active NPI
Associates in Kidney Disease & Hypertension LLC
- Nephrology Physician
- Edison, NJ
National Provider Identifier
1295894038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA07583200
- Legal business name
- ASSOCIATES IN KIDNEY DISEASE & HYPERTENSION LLC
- Practice address
- 2177 Oak Tree Rd
Suite 204
Edison, NJ 08820-1082 - Phone
- (908) 769-4735
- Fax
- (908) 769-4736
- NPI assigned
- Dec 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samir Sutaria, M.D.
- Title
- Physician
- Phone
- (908) 769-4735
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 25MA07583200 | NJ | Primary |
Addresses
Primary practice location
2177 Oak Tree Rd
Suite 204
Edison, NJ 08820-1082
Mailing address
17 Anna LN
Edison, NJ 08820-1503
Phone (908) 769-4735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076538 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Edison, NJ
- NPI 1083677579
-
- Nephrology Physician
- Edison, NJ
- NPI 1699181206
-
- Nurse Practitioner
- Jersey City, NJ
- NPI 1023456480
-
- Internal Medicine Physician
- Edison, NJ
- NPI 1174719124
-
- Nephrology Physician
- Rahway, NJ
- NPI 1801165873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295913600000",
"number": "1295894038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 ANNA LN",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201503",
"telephone_number": "908-769-4735",
"fax_number": "908-769-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 OAK TREE RD",
"address_2": "SUITE 204",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201082",
"telephone_number": "908-769-4735",
"fax_number": "908-769-4736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN KIDNEY DISEASE & HYPERTENSION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-07",
"last_updated": "2011-01-25",
"status": "A",
"authorized_official_last_name": "SUTARIA",
"authorized_official_first_name": "SAMIR",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "908-769-4735",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "25MA07583200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076538",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.