Edison Kidney Center at Woodbridge Limited Liability Company

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA06407800 Issued in NJ

Legal business name

EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY

Practice address

423 Amboy Ave
Woodbridge, NJ 07095-2909

Phone

(732) 634-6188

Fax

(732) 634-7991

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stanley S. Kim, M.D.

Title

President

Phone

(732) 634-6188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1487749156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952909",
            "telephone_number": "732-634-6188",
            "fax_number": "732-634-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 AMBOY AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952909",
            "telephone_number": "732-634-6188",
            "fax_number": "732-634-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON KIDNEY CENTER AT WOODBRIDGE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-634-6188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06407800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Doshi, M.D
• Christine K. Doyle, RN
• Dr'S Office, LLC
• Brittny Drigan
• Eliecia Eason, LSW
• Edwin N Galkin & James N Albani DMD PA
• Waseem El-Halabi, M.D.
• Jacqueline Rose Elmo
• Samy Shaker Elsherbini, PHARMD, JD, MBA
• Emmanuel Hriso MD PA

• Specialist in Woodbridge, NJ
• Providers in Woodbridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.