Organization Active NPI

Kidney and Hypertension Specialists, P.a.

  • Nephrology Physician
  • Bridgeton, NJ
National Provider Identifier
1538198486
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY AND HYPERTENSION SPECIALISTS, P.A.
Practice address
20 Magnolia Ave
Suite a
Bridgeton, NJ 08302-1759
Phone
(856) 455-6002
Fax
(856) 455-6106
NPI assigned
Jul 2, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Elis M. Priori, MD
Title
President
Phone
(856) 455-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

20 Magnolia Ave
Suite a
Bridgeton, NJ 08302-1759

Mailing address

20 Magnolia Ave
Suite a
Bridgeton, NJ 08302-1759
Phone (856) 455-6002

Other identifiers 6

IdentifierTypeStateIssuer
91000472600OtherAMERICHOICE
1155117OtherHORIZON NJ HEALTH
CH2537OtherNJRAILROAD MEDICARE-PALMETTO
0415761001OtherAMERIHEALTH
0000K04795OtherNJHEALTHNET
7786603MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1450 E Chestnut Ave
Ste C
Vineland, NJ 08361
Phone (856) 455-6002

Practitioners & affiliated clinicians

Practitioners 7

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1538198486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021759",
            "telephone_number": "856-455-6002",
            "fax_number": "856-455-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAGNOLIA AVE",
            "address_2": "SUITE A",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021759",
            "telephone_number": "856-455-6002",
            "fax_number": "856-455-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY AND HYPERTENSION SPECIALISTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "PRIORI",
        "authorized_official_first_name": "ELIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-455-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91000472600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1155117",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-PALMETTO",
            "identifier": "CH2537",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0415761001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0000K04795",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7786603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.