New Century Dialysis Center of Jasper, L.L.C.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NEW CENTURY DIALYSIS CENTER OF JASPER, L.L.C.

Practice address

2014 S Wheeler St
Suite 300
Jasper, TX 75951-5624

Phone

(409) 384-2711

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shung-Man Kurt Lee, M.D.

Title

Manager

Phone

(409) 384-2711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1801064241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21026",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777201026",
            "telephone_number": "409-384-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S WHEELER ST",
            "address_2": "SUITE 300",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515624",
            "telephone_number": "409-384-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTURY DIALYSIS CENTER OF JASPER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SHUNG-MAN",
        "authorized_official_middle_name": "KURT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-384-2711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207029401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Morgan, RN, MSN, FNP-C
• Tina Suzanne Morris, MSN, APRN, FNP-C
• David Anthony Mosig, D.O.
• National Medical Group
• Pierre R Navarrete, P.T.
• Newton Family Clinic P.a.
• Newton Family Clinic, PA
• Northland Hearing Center, Inc.
• Numed Imaging Centers, Inc
• Nurturing Haven Adult Day Center Inc.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jasper, TX
• Providers in Jasper, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.