NPIMap

Organization Active NPI

Nephrology Hypertension Renal Transplant & Renal Therapy, LLC

  • Nephrology Physician
  • Avenel, NJ
National Provider Identifier
1669403143
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY HYPERTENSION RENAL TRANSPLANT & RENAL THERAPY, LLC
Practice address
1030 Saint Georges Ave
Lower Level 1
Avenel, NJ 07001-1390
Phone
(732) 750-5555
Fax
(732) 750-5550
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Alexander M Swan, M.DNPI 1346218856
Title
Owner
Phone
(732) 750-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RN0300X NJ Primary

Addresses

Primary practice location

1030 Saint Georges Ave
Lower Level 1
Avenel, NJ 07001-1390

Mailing address

1030 Saint Georges Ave
Lower Level 1
Avenel, NJ 07001-1390
Phone (732) 750-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081027000261 NJ Part B Supplier - Clinic/Group Practice 8820156409 Receives reassigned benefits from 1 practitioner
Practice locations: Avenel, NJ

National Provider Directory

National Provider Directory

Locations

1030 Saint Georges Ave
Ste LL1
Avenel, NJ 07001
Phone (732) 750-5555

1030 Saint Georges Ave
Lowr
Avenel, NJ 07001
Phone (732) 634-2277

1030 Saint Georges Ave
Ste L1
Avenel, NJ 07001

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_nhrtrt

Practitioners & affiliated clinicians

Practitioners 8

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": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1669403143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "LOWER LEVEL 1",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-750-5555",
            "fax_number": "732-750-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SAINT GEORGES AVE",
            "address_2": "LOWER LEVEL 1",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011390",
            "telephone_number": "732-750-5555",
            "fax_number": "732-750-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY HYPERTENSION RENAL TRANSPLANT & RENAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-750-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.