Advanced Kidney Care and Hypertension of South Jersey LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ADVANCED KIDNEY CARE AND HYPERTENSION OF SOUTH JERSEY LLC

Practice address

777 S White Horse Pike Ste B3
Hammonton, NJ 08037-2029

Phone

(856) 873-2066

NPI assigned

Jan 3, 2022

Last updated

May 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arun Chawla, MD, MBBSNPI 1568611630

Title

Managing Member

Phone

(856) 873-2066

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Arun Chawla, M.D.

  • Nephrology Physician
  • Voorhees, NJ
  • NPI 1568611630
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Liga

  • Acute Care Nurse Practitioner
  • Voorhees, NJ
  • NPI 1275382897
  Medicare reassignment Care Compare group NPD
• Alexander Smith, M.D.

  • Internal Medicine Physician
  • Camden, NJ
  • NPI 1154854800
  NPD (past)

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1669133583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE STE B3",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "856-873-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE STE B3",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "856-873-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Shelbourne Ct",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080433945",
            "country_code": "US",
            "telephone_number": "856-873-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED KIDNEY CARE AND HYPERTENSION OF SOUTH JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "856-873-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBBS"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF TREASURY",
            "identifier": "0450715425",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.