Organization Active NPI

Nephrological Associates, PA

  • Specialist
  • Florham Park, NJ
National Provider Identifier
1740407923
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEPHROLOGICAL ASSOCIATES, PA
Practice address
83 Hanover Road
Suite 290
Florham Park, NJ 07932-1520
Phone
(973) 736-2212
Fax
(973) 736-2989
NPI assigned
Apr 19, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Ms. Frances A Annette, MS, RN
Title
Practice Administrator
Phone
(973) 736-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

83 Hanover Road
Suite 290
Florham Park, NJ 07932-1520

Mailing address

83 Hanover Road
Suite 290
Florham Park, NJ 07932-1520
Phone (973) 736-2212

Other identifiers 1

IdentifierTypeStateIssuer
2625806MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427000399 NJ Part B Supplier - Clinic/Group Practice 9335136928 Receives reassigned benefits from 21 practitioners
Practice locations: Morristown, NJ; Montclair, NJ; Livingston, NJ; Florham Park, NJ; Bloomfield, NJ; Belleville, NJ

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
31D0106914Nephrological Associates PA83 Hanover Road, Suite 290, Florham Park, NJ 07932Provider-performed microscopyMar 13, 2028

National Provider Directory

National Provider Directory

Locations

94 Old Short Hills Rd
Ste 305
Livingston, NJ 07039
Phone (973) 322-5065

31 Madison Ave
FL 3
Morristown, NJ 07960

769 Northfield Ave
Ste 200
West Orange, NJ 07052
Phone (973) 736-2212

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1740407923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER ROAD",
            "address_2": "SUITE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER ROAD",
            "address_2": "SUITE 290",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321520",
            "telephone_number": "973-736-2212",
            "fax_number": "973-736-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "ANNETTE",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "973-736-2212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.