Physicians in Kidney Disease & Cell Therapies, PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA52649 Issued in NJ

Legal business name

PHYSICIANS IN KIDNEY DISEASE & CELL THERAPIES, PA

Practice address

301 Supor Blvd
Harrison, NJ 07029-1912

Phone

(973) 412-0103

Fax

(973) 412-0105

NPI assigned

Sep 19, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary S Friedman, MD

Title

MD

Phone

(973) 412-0103

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Alisa G. Cullen, PA-C

  • Medical Physician Assistant
  • West Orange, NJ
  • NPI 1003954074
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1740476209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SUPOR BLVD",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291912",
            "telephone_number": "973-412-0103",
            "fax_number": "973-412-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SUPOR BLVD",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291912",
            "telephone_number": "973-412-0103",
            "fax_number": "973-412-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS IN KIDNEY DISEASE & CELL THERAPIES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-412-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA52649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6073603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amit K Patel, PHARMACIST
• Teena Payyanattu, RPH
• Walter Perez, MD
• Pharmacy Plus & Surgical Supplies LLC
• Pharmacy Plus & Surgical Supplies LLC
• Primary Care Medical Group PA
• R.M. Cosentini & Associates Inc. (Always Best Care of Montclair)
• Bianca Reid
• Shemar D Rhoden
• David Rios

• Nephrology Physician in Harrison, NJ
• Providers in Harrison, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.