Shore Renal Care

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MB08928600 Issued in NJ

Legal business name

SHORE RENAL CARE

Practice address

1617 Route 88 W
Brick, NJ 08724-3010

Phone

(732) 458-1903

Fax

(732) 458-1906

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

John Anthony Depalma, D.O.NPI 1407054471

Title

Nephrologist/President

Phone

(732) 773-2203

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Anthony Depalma, DO

  • Nephrology Physician
  • Brick, NJ
  • NPI 1407054471
  NPD Authorized official
• Eric Loman, D.O

  • Nephrology Physician
  • Brick, NJ
  • NPI 1952662140

  Single Specialty

  NPD
• Laurie Lyons, NP

  • Primary Care Nurse Practitioner
  • Brick, NJ
  • NPI 1396565040
  NPD
• Nicole Marie Ortiz, ANP-C

  • Adult Health Nurse Practitioner
  • Brick, NJ
  • NPI 1326446162
  NPD

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1437591963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243010",
            "telephone_number": "732-458-1903",
            "fax_number": "732-458-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 ROUTE 88 W",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243010",
            "telephone_number": "732-458-1903",
            "fax_number": "732-458-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE RENAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "DEPALMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "NEPHROLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "732-773-2203",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB08928600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shore Points Oral Surgery & Implant Center LLC
• Shore Psychiatric Associates LLC
• Shore Psychological Healthcare LLC
• Shore Radiation Oncology, LLC.
• Shore Rehabilitation Institute
• Shore Solutions Therapy Group
• Shorrock Gardens Care Center Inc.
• Shorrock Gardens Care Center, Inc.
• Christine Shu, MD
• Namra Shueib, MD

• Nephrology Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.