Organization Active NPI

Renal Group of Central New Jersey

  • Specialist
  • Somerset, NJ
National Provider Identifier
1386665578
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA46077 Issued in NJ
Legal business name
RENAL GROUP OF CENTRAL NEW JERSEY
Practice address
1350 Hamilton St
Somerset, NJ 08873-3341
Phone
(732) 246-2626
Fax
(732) 249-5480
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Trina Garcia
Title
Business Office Manager
Phone
(732) 246-9348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA46077 NJ Primary

Addresses

Primary practice location

1350 Hamilton St
Somerset, NJ 08873-3341

Mailing address

1350 Hamilton St
Somerset, NJ 08873-3341
Phone (732) 246-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080709000138 NJ Part B Supplier - Clinic/Group Practice 9931288503 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1386665578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 HAMILTON ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733341",
            "telephone_number": "732-246-2626",
            "fax_number": "732-249-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HAMILTON ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733341",
            "telephone_number": "732-246-2626",
            "fax_number": "732-249-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL GROUP OF CENTRAL NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "732-246-9348"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA46077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.

Verify at the official NPI Registry.