Organization Active NPI

Rahway Medical and Nephrology P.a.

  • Nephrology Physician
  • Rahway, NJ
National Provider Identifier
1710096920
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MA052276 Issued in NJ
Legal business name
RAHWAY MEDICAL AND NEPHROLOGY P.A.
Practice address
307 Grove St
Rahway, NJ 07065-2525
Phone
(732) 382-3390
Fax
(732) 382-5206
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Arthur F Santiago, M.D.NPI 1003860669
Title
Owner
Phone
(732) 382-3390

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 MA052276 NJ Primary

Addresses

Primary practice location

307 Grove St
Rahway, NJ 07065-2525

Mailing address

307 Grove St
Rahway, NJ 07065-2525
Phone (732) 382-3390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000052 NJ Part B Supplier - Clinic/Group Practice 3476587007 Receives reassigned benefits from 1 practitioner
Practice locations: Colonia, NJ; Edison, NJ; Elizabeth, NJ; Linden, NJ; Morristown, NJ; Rahway, NJ

National Provider Directory

National Provider Directory

Locations

225 Williamson St
#3N
Elizabeth, NJ 07202
Phone (908) 994-5203

400 Route 10 W
Randolph, NJ 07869
Phone (973) 361-7174

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1710096920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 GROVE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652525",
            "telephone_number": "732-382-3390",
            "fax_number": "732-382-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 GROVE ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652525",
            "telephone_number": "732-382-3390",
            "fax_number": "732-382-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHWAY MEDICAL AND NEPHROLOGY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-382-3390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA052276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.