Clinical Renal Associates, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CLINICAL RENAL ASSOCIATES, LLC

Practice address

30 Medical Center Blvd
Suite 303
Upland, PA 19013-3955

Phone

(610) 872-8501

Fax

(610) 872-5188

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Roy G. Marcus, M.D.NPI 1245278084

Title

Chief Operating Officer

Phone

(610) 872-8501

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations (25 of 44)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roy G. Marcus, M.D.

  • Nephrology Physician
  • Upland, PA
  • NPI 1245278084
  Medicare reassignment Care Compare group NPD Authorized official
• Efua Asamoah-Odei, MD

  • Nephrology Physician
  • Phila, PA
  • NPI 1043479082
  Medicare reassignment Care Compare group NPD
• Amit Deshpande, M.D.

  • Nephrology Physician
  • Darby, PA
  • NPI 1912219312
  Medicare reassignment Care Compare group NPD
• Steven G Dimitriou, DO

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1275631632
  Medicare reassignment Care Compare group NPD
• Steven S Han, MD

  • Nephrology Physician
  • Exton, PA
  • NPI 1205872231
  Medicare reassignment Care Compare group NPD
• Jay W Hubsher, MD

  • Nephrology Physician
  • Darby, PA
  • NPI 1942289269
  Medicare reassignment Care Compare group NPD
• July Jacob

  • Nurse Practitioner
  • Exton, PA
  • NPI 1255953154
  Medicare reassignment Care Compare group NPD
• Ambereen M Jan, MD

  • Nephrology Physician
  • Exton, PA
  • NPI 1619929932
  Medicare reassignment Care Compare group NPD
• Binitha Joy, PA-C

  • Physician Assistant
  • Darby, PA
  • NPI 1235927286
  Medicare reassignment Care Compare group NPD
• Joanna Kim, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Media, PA
  • NPI 1740095678
  Medicare reassignment Care Compare group NPD
• Marc Jason Kim, M.D.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1548421225
  Medicare reassignment Care Compare group NPD
• Lavinia Davis Kitson, PA-C

  • Physician Assistant
  • Exton, PA
  • NPI 1053121483
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1689620254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W RIO SALADO PKWY STE 201",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813812",
            "telephone_number": "480-480-8330",
            "fax_number": "480-610-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD",
            "address_2": "SUITE 303",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 W Sproul Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642045",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 S 54th St Ste 227",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191431900",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Baltimore Pike Ste 109",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642852",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1088 W Baltimore Pike Ste 2105",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635136",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 Lansdowne Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231333",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Maple Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193804434",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 Baltimore Pike Ste 220",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421372",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1098 W Baltimore Pike Ste 3306",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "19063",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Evergreen Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421081",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Morton Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Ridley Park",
            "state": "PA",
            "postal_code": "190782216",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1098 W Baltimore Pike Ste 3306",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635139",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 Reeceville Rd Ste 37",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "193201533",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 W Baltimore Pike Ste 310",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909459",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 W Lancaster Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011763",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Springdale Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412834",
            "country_code": "US",
            "telephone_number": "610-872-8501",
            "fax_number": "610-872-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLINICAL RENAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "610-872-8501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0032975000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CF3534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0032975000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "045319",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000760867-0013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PA",
            "identifier": "110372",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Brown
• Shannon S Brown, M.D.
• Deanna Beth Bulthuis, MD
• Zachary Burger
• Sandra Casciato, CRNA
• Scott Alan Cohen, LCSW
• Crozer Adult Day Centers - As
• Crozer Chester Medical Center
• Crozer Chester Medical Center
• Crozer Health Pharmacy

• Nephrology Physician in Upland, PA
• Providers in Upland, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.