Organization Active NPI

Atlantic Kidney Care PC

  • Medical Specialty Clinic/Center
  • Morganville, NJ
National Provider Identifier
1497230544
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ATLANTIC KIDNEY CARE PC
Practice address
167 US 9 South
#5
Morganville, NJ 07751-0775
Phone
(732) 734-0775
Fax
(732) 362-4709
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Harneet KaurNPI 1700019742
Title
MD
Phone
(732) 734-0775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

167 US 9 South
#5
Morganville, NJ 07751-0775

Mailing address

PO Box 42
Marlboro, NJ 07746-0042

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181105000534 NJ Part B Supplier - Clinic/Group Practice 0446503643 Receives reassigned benefits from 1 practitioner
Practice locations: Englishtown, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1497230544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077460042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 US 9 SOUTH",
            "address_2": "#5",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077510775",
            "telephone_number": "732-734-0775",
            "fax_number": "732-362-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC KIDNEY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "HARNEET",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "732-734-0775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.