Amitabh Hajela, MD, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA07805300 Issued in NJ

Legal business name

AMITABH HAJELA, MD, LLC

Practice address

16 Pocono Rd
Suite 103
Denville, NJ 07834-2901

Phone

(973) 747-4155

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Amitabh Hajela, M.D.NPI 1548329840

Title

Sole Member

Phone

(973) 747-4155

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Amitabh Hajela, M.D.

  • Nephrology Physician
  • Denville, NJ
  • NPI 1548329840
  Medicare reassignment NPD Authorized official
• Gady Berkovich, APN

  • Nurse Practitioner
  • Jersey City, NJ
  • NPI 1255883716
  Medicare reassignment NPD

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1780884775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 RIDGEWOOD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281512",
            "telephone_number": "973-747-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 103",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-747-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITABH HAJELA, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "HAJELA",
        "authorized_official_first_name": "AMITABH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-747-4155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA07805300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Charles Alpert, M.D.
• Eli - Alson, PH.,D.
• Suzanne B. Amendolaro, LCSW
• Anchored Psych Services, LLC
• Anthony Andres, P.A-C
• George Angelakakis
• Cynthia Angelica, RN.,MSN.,CPNP
• Ankle & Foot Surgery, PA

• Nephrology Physician in Denville, NJ
• Providers in Denville, 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 Oct 26, 2007; 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.