Renal Associates, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

039093 Issued in CT

Legal business name

RENAL ASSOCIATES, LLC

Practice address

510 Washington Ave
North Haven, CT 06473-1313

Phone

(203) 752-0807

Fax

(203) 752-0842

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey T Reynolds, M.D.

Title

Principal

Phone

(203) 752-0807

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10057178

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366574584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731313",
            "telephone_number": "203-752-0807",
            "fax_number": "203-752-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731313",
            "telephone_number": "203-752-0807",
            "fax_number": "203-752-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "203-752-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "039093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER-INDIVIDUAL",
            "identifier": "1083600381",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in North Haven, CT
• Providers in North Haven, CT by specialty
• Nephrology Physician in Connecticut

• 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.