Nephrology Associates of Montgomery County

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

NEPHROLOGY ASSOCIATES OF MONTGOMERY COUNTY

Practice address

6240 Montrose Rd
Rockville, MD 20852-4114

Phone

(301) 231-7111

Fax

(301) 231-9040

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Gaetano Vaccarezza, MDNPI 1861488314

Title

President

Phone

(301) 231-7111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Stephen Vaccarezza, M.D.

  • Nephrology Physician
  • Rockville, MD
  • NPI 1861488314

  DC

  Medicare reassignment Care Compare group Authorized official
• Jeffrey Alan Perlmutter, M.D.

  • Nephrology Physician
  • Rockville, MD
  • NPI 1588651889

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1619173135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524114",
            "telephone_number": "301-231-7111",
            "fax_number": "301-231-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 MONTROSE RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524114",
            "telephone_number": "301-231-7111",
            "fax_number": "301-231-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF MONTGOMERY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "VACCAREZZA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GAETANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-231-7111",
        "authorized_official_name_prefix": "Dr.",
        "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": "2256916P000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8535",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taheed Nelson
• Tamera Nelson
• Taye Nelson
• Neonatology Associates, PC
• Nephrology &Internal Medicine of Greater Washington PC
• Olive Sandra Neping Chimobe
• Lynette Neptune-Harried
• Perry Nerantzis, LCPC, LCADC
• Haris Nesar
• David Nesbitt

• Nephrology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.