Active NPI
Alan B Haratz, MD
- Nephrology Physician
- Eatontown, NJ
National Provider Identifier
1336155688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MA38335
- Practice address
- 6 Industrial Way West
Ste B Hypertension & Nephrology Assoc
Eatontown, NJ 07724 - Phone
- (732) 460-1200
- Fax
- (732) 460-1211
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA38335 | NJ | |
| Nephrology Physician | 207RN0300X | MA38335 | NJ | Primary |
Addresses
Primary practice location
6 Industrial Way West
Ste B Hypertension & Nephrology Assoc
Eatontown, NJ 07724
Mailing address
6 Industrial Way W
Suite B
Eatontown, NJ 07724
Phone (732) 460-1200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1S21900 | Medicaid | NJ | |
| 1521900 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Hahnemann University College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6 Industrial Way W
Suite B
Eatontown, NJ 07724-2258
Phone (732) 460-1200
Hospital & facility affiliations
- Jersey Shore University Medical Center
- Riverview Medical Center
- Monmouth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA38335 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Care Centers | Nephrology | Current | Accepting new patients |
Locations
6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414
1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662
1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387
Interoperability endpoints
- alan.haratz.1@21847.direct.athenahealth.com
- aharatz40612@direct.davitaphysiciansolutions.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nephrology Physician
- Eatontown, NJ
- NPI 1689302424
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bank, NJ
- NPI 1710499462
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1336155688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 INDUSTRIAL WAY W",
"address_2": "SUITE B",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "07724",
"telephone_number": "732-460-1200",
"fax_number": "732-460-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 INDUSTRIAL WAY WEST",
"address_2": "STE B HYPERTENSION & NEPHROLOGY ASSOC",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "07724",
"telephone_number": "732-460-1200",
"fax_number": "732-460-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARATZ",
"first_name": "ALAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA38335",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NJ",
"license": "MA38335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1S21900",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521900",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.