Organization Active NPI

Kidney Care and Hypertension Center of Central Jersey LLC

  • Nephrology Physician
  • Somerset, NJ
National Provider Identifier
1700645520
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY CARE AND HYPERTENSION CENTER OF CENTRAL JERSEY LLC
Practice address
1350 Hamilton St
Somerset, NJ 08873-3341
Phone
(973) 631-6223
Fax
(973) 631-6225
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Shubho R Sarkar, MDNPI 1932375581
Title
Doctor
Phone
(973) 631-6223

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 SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1350 Hamilton St
Somerset, NJ 08873-3341

Mailing address

290 Madison Ave BLDG No 5, 2ND Floor
Morristown, NJ 07960-7401
Phone (973) 631-6223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508001038 NJ Part B Supplier - Clinic/Group Practice 9335580323 Receives reassigned benefits from 5 practitioners
Practice locations: Flemington, NJ; Hackettstown, NJ; Somerset, NJ

National Provider Directory

National Provider Directory

Locations

194 Route 31
Ste 100A
Flemington, NJ 08822

1350 Hamilton St
Somerset, NJ 08873
Phone (732) 246-2626

Practitioners & affiliated clinicians

Practitioners 6

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": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1700645520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE BLDG NO 5, 2ND FLOOR",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607401",
            "telephone_number": "973-631-6223",
            "fax_number": "973-631-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HAMILTON ST",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733341",
            "telephone_number": "973-631-6223",
            "fax_number": "973-631-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE AND HYPERTENSION CENTER OF CENTRAL JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "SARKAR",
        "authorized_official_first_name": "SHUBHO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-631-6223",
        "authorized_official_credential": "MD"
    },
    "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 Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.