Organization Active NPI

New England Nephrology Home Care Assoc

Doing business as Commonwealth Nephrology Assoc

  • Nephrology Physician
  • Natick, MA
National Provider Identifier
1619237724
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEW ENGLAND NEPHROLOGY HOME CARE ASSOC
Doing business as
Commonwealth Nephrology Assoc
Practice address
67 Union St
Natick, MA 01760-7700
Phone
(508) 650-7890
Fax
(508) 650-7892
NPI assigned
May 22, 2012
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Derya Bora Hazar, M.D.
Title
Partner
Phone
(617) 739-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

67 Union St
Natick, MA 01760-7700

Mailing address

31 Pine St
Suite 204
Norfolk, MA 02056-1642
Phone (617) 739-7100

Other names 1

  • Commonwealth Nephrology Assoc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth Nephrology Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, 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": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1619237724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 PINE ST",
            "address_2": "SUITE 204",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561642",
            "telephone_number": "617-739-7100",
            "fax_number": "617-739-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-650-7890",
            "fax_number": "508-650-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND NEPHROLOGY HOME CARE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "HAZAR",
        "authorized_official_first_name": "DERYA BORA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "617-739-2100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Nephrology Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.