Active NPI
New England Nephrology Home Care Assoc
Doing business as Commonwealth Nephrology Assoc
- Nephrology Physician
- Natick, MA
National Provider Identifier
1619237724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Commonwealth Nephrology Assoc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Commonwealth Nephrology Associates
- Nephrology Physician
- Norfolk, MA
- NPI 1447302682
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Pembroke, MA
- NPI 1467177279
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.