Organization Active NPI

Nephrology Associates PA

  • Nephrology Physician
  • Middletown, DE
National Provider Identifier
1689478125
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES PA
Practice address
104 Sleepy Hollow Dr Ste 207
Middletown, DE 19709-5842
Phone
(302) 574-6800
NPI assigned
Apr 3, 2025
Organization subpart
Yes
Parent organization
NEPHROLOGY ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Jessica Larue
Title
Billing Manager
Phone
(302) 225-0462

Specialties & licenses 1

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

Addresses

Primary practice location

104 Sleepy Hollow Dr Ste 207
Middletown, DE 19709-5842

Mailing address

104 Sleepy Hollow Dr Ste 207
Middletown, DE 19709-5842

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D1045026Nephrology Associates PA104 Sleepy Hollow Drive, Suite 207, Middletown, DE 19709Provider-performed microscopySep 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nephrology Associates O7 organizations share this tax ID, including this one
Part of
Nephrology Associates O

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1689478125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR STE 207",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SLEEPY HOLLOW DR STE 207",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197095842",
            "telephone_number": "302-574-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEPHROLOGY ASSOCIATES PA",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "LARUE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "302-225-0462"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.