Kidney Hypertension Center ,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA07375100 Issued in NJ

Legal business name

KIDNEY HYPERTENSION CENTER ,LLC

Practice address

733 Bloomfield Ave
Bloomfield, NJ 07003-2545

Phone

(973) 680-0400

Fax

(973) 680-0450

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raluca Coyle, M.D.

Title

Chief

Phone

(973) 680-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NONE Former legal business name

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1821026477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032545",
            "telephone_number": "973-680-0400",
            "fax_number": "973-680-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032545",
            "telephone_number": "973-680-0400",
            "fax_number": "973-680-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY HYPERTENSION CENTER ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "COYLE",
        "authorized_official_first_name": "RALUCA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "973-680-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07375100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019259",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pascale Kerlegrand, M.D.
• Carolyn Kerr, IBCLC
• Muntasir Khaled, DPM
• Vishal Khatri, MD
• Julie Thomas Kidangan, DO
• Kids Choice Pediatrics
• Katelyn M Kidwell, MA, RDT ,LCAT
• Joel Kim
• Kindersmile Community Oral Health Center
• Latoya S King Robinson, LPC

• Specialist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.