NPIMap

Individual provider Active NPI

Sandesh Jain, MD

  • Nephrology Physician
  • Somerset, NJ
National Provider Identifier
1831236967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA07617100 Issued in NJ
Practice address
23 Clyde Rd
Somerset, NJ 08873
Phone
(732) 873-9500
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA07617100 NJ Primary

Addresses

Primary practice location

23 Clyde Rd
Somerset, NJ 08873

Mailing address

PO Box 40
Franklin Park, NJ 08823
Phone (732) 873-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000223 NJ Practitioner - Nephrology 8123068608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Hypertension Center of Central Jersey PCGroup PAC ID 3476592007, 6 clinicians

Practice addresses (Care Compare)

23 Clyde Rd
Suite 101
Somerset, NJ 08873-5050
Phone (732) 873-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07617100NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Hypertension Center of Central Jersey PC Nephrology CurrentSince Apr 1, 2005 Accepting new patients
Carefirst LLC Past Accepting new patients
Braburry Dialysis LLC PastSince Mar 24, 2021 Accepting new patients

Locations

23 Clyde Rd
Ste 101
Somerset, NJ 08873
Phone (732) 873-9500

23 Clyde Rd
Somerset, NJ 08873
Phone (732) 873-9500

1 Eastern Ave
Somerville, NJ 08876
Phone (908) 595-1900

10 N Gaston Ave
Somerville, NJ 08876
Phone (908) 218-0770

Interoperability endpoints

  • Direct secure messaging: sandesh.jain@direct.davitaphysiciansolutions.com
  • Direct secure messaging: sjain59207@epicdirect.rwjbh.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831236967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "08823",
            "telephone_number": "732-873-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CLYDE RD",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-873-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SANDESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA07617100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.