Marlton Nephrology and Hypertension LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MARLTON NEPHROLOGY AND HYPERTENSION LLC

Practice address

775 Route 70 E Ste F120A
Marlton, NJ 08053-2357

Phone

(856) 988-8800

Fax

(856) 988-8804

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Beckie Michael, DONPI 1346272796

Title

Aurhorized Official Owner

Phone

(856) 988-8800

Specialties & licenses 2

Addresses

Other names 1

• Marlton Nephrology & Hypertension, LLC Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: beckie.michael@direct.davitaphysiciansolutions.com

Practitioners 2

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

• Beckie Michael, DO

  • Nephrology Physician
  • Marlton, NJ
  • NPI 1346272796
  Medicare reassignment Authorized official
• Brenda R Kurnik, M.D.

  • Nephrology Physician
  • Voorhees, NJ
  • NPI 1730180555
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1790714913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 ROUTE 70 E STE F120A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532357",
            "telephone_number": "856-988-8800",
            "fax_number": "856-988-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 ROUTE 70 E STE F120A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532357",
            "telephone_number": "856-988-8800",
            "fax_number": "856-988-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLTON NEPHROLOGY AND HYPERTENSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "BECKIE",
        "authorized_official_title_or_position": "AURHORIZED OFFICIAL OWNER",
        "authorized_official_telephone_number": "856-988-8800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beckie.michael@direct.davitaphysiciansolutions.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "769 Route 70 East",
            "address_2": "Suite C-125",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marlton Nephrology & Hypertension, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Marlton Nephrology & Hypertension, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nephrology Physician in Marlton, NJ
• Providers in Marlton, 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 Mar 6, 2023; 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.