NPIMap

Organization Active NPI

Hypertension Nephrology Associates

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Willow Grove, PA
National Provider Identifier
1639565138
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
SP014624 Issued in PA
Legal business name
HYPERTENSION NEPHROLOGY ASSOCIATES
Practice address
735 Fitzwatertown Rd
#A
Willow Grove, PA 19090-1338
Phone
(215) 657-2012
NPI assigned
Apr 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Authorized official

Name
Dr. Victor Ghantous, M.D.
Title
Authorizing Official
Phone
(215) 657-2012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X SP014624 PA Primary

Addresses

Primary practice location

735 Fitzwatertown Rd
#A
Willow Grove, PA 19090-1338

Mailing address

9 Highland Ave
Flourtown, PA 19031-1612
Phone (267) 736-1896

National Provider Directory

National Provider Directory
Tax ID family
Hypertension Nephrology2 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.

Locations

735 Fitzwatertown Rd
#A
Willow Grove, PA 19090
Phone (215) 657-2012

Practitioners & affiliated clinicians

Practitioners 4

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": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1639565138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HIGHLAND AVE",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190311612",
            "telephone_number": "267-736-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 FITZWATERTOWN RD",
            "address_2": "#A",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901338",
            "telephone_number": "215-657-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERTENSION NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "GHANTOUS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "AUTHORIZING OFFICIAL",
        "authorized_official_telephone_number": "215-657-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PA",
            "license": "SP014624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.