Organization Active NPI

Clinical Nephrology Associates, LTD.

  • Nephrology Physician
  • Philadelphia, PA
National Provider Identifier
1457447799
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CLINICAL NEPHROLOGY ASSOCIATES, LTD.
Practice address
235 N Broad St
Suite 200
Philadelphia, PA 19107-1511
Phone
(215) 762-7782
Fax
(215) 568-6007
NPI assigned
Oct 5, 2006
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Ms. Kate Barry
Title
Office Manager
Phone
(215) 762-7785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

235 N Broad St
Suite 200
Philadelphia, PA 19107-1511

Mailing address

235 N Broad St
Suite 200
Philadelphia, PA 19107-1511
Phone (215) 762-7782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000669 PA Part B Supplier - Clinic/Group Practice 6800879859 Receives reassigned benefits from 5 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

227 N Broad St
Fl 3
Philadelphia, PA 19107
Phone (215) 963-9760

227 N Broad St
Ste 301
Philadelphia, PA 19107
Phone (847) 949-3845

235 N Broad St
Philadelphia, PA 19107
Phone (215) 568-3510

235 N Broad St
#2
Philadelphia, PA 19107

235 N Broad St
Fl 2
Philadelphia, PA 19107

4216 Market St
Philadelphia, PA 19104
Phone (215) 662-5990

Practitioners & affiliated clinicians

Practitioners 6

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1457447799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7782",
            "fax_number": "215-568-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7782",
            "fax_number": "215-568-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEPHROLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-762-7785",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.