Organization Active NPI

Kidney Care and Transplant Services of New England, PC

  • Nephrology Physician
  • Northampton, MA
National Provider Identifier
1457880213
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND, PC
Practice address
51 Locust St Ste 3
Northampton, MA 01060-2045
Phone
(413) 585-5703
Fax
(413) 585-1043
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Authorized official

Name
Jeffrey Mulhern, MD
Title
President
Phone
(413) 733-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

51 Locust St Ste 3
Northampton, MA 01060-2045

Mailing address

354 Birnie Ave Ste 100
Springfield, MA 01107-1109
Phone (413) 733-0010

Other identifiers 1

IdentifierTypeStateIssuer
110120889AMedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1457880213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 BIRNIE AVE STE 100",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071109",
            "telephone_number": "413-733-0010",
            "fax_number": "413-507-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 LOCUST ST STE 3",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602045",
            "telephone_number": "413-585-5703",
            "fax_number": "413-585-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE AND TRANSPLANT SERVICES OF NEW ENGLAND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "MULHERN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-733-0010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110120889A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.