Essex Nephrology&Medicalcenter,PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA06306800 Issued in NJ

Legal business name

ESSEX NEPHROLOGY&MEDICALCENTER,PC

Practice address

50 Newark Ave
Suite 301
Belleville, NJ 07109-1185

Phone

(973) 757-1787

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gayithri R Keshav, M.D.NPI 1588767875

Title

President

Phone

(973) 751-7870

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Gayithri R Keshav, M.D.

  • Nephrology Physician
  • Belleville, NJ
  • NPI 1588767875
  Medicare reassignment NPD Authorized official
• Janet Labadie, APN

  • Acute Care Nurse Practitioner
  • Bellevile, NJ
  • NPI 1407241441
  NPD (past)
• Brinda Desiraju, M.D.

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1861503070
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457463317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BROWN CT",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070391520",
            "telephone_number": "973-751-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 301",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-757-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX NEPHROLOGY&MEDICALCENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KESHAV",
        "authorized_official_first_name": "GAYITHRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-751-7870",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06306800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7510802",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Enoksen, LCSW
• Eileen Enrico, PTA
• Enterprise Radiation Oncology of New Jersey, LLC
• Daniel J Erbach, LCSW
• Essex Gastroenterology Associates LLC
• Essex Orthopaedic Group, P.C.
• Essex Radiation Oncology PC
• Essex Surgical Arts Surgery Center, LLC (Mobile Vascular Physicians)
• Marie Ilza Esterlin, AGNP
• Srinivasa Eswarapu, MD

• Nephrology Physician in Belleville, NJ
• Providers in Belleville, 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 Aug 22, 2020; 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.