South Mountain Nephrology, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA062557 Issued in NJ

Legal business name

SOUTH MOUNTAIN NEPHROLOGY, LLC

Practice address

5 Franklin Ave
Suite 401
Belleville, NJ 07109-3532

Phone

(973) 450-8999

NPI assigned

Aug 31, 2006

Last updated

May 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Penny E Defranco, M.D.

Title

President

Phone

(973) 450-8999

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/490f08f3-38d3-444b-88f1-9798dea724e4/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rama Reddy, MD

  • Specialist
  • Belleville, NJ
  • NPI 1386724672
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1851403927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 401",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-450-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FRANKLIN AVE",
            "address_2": "SUITE 401",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071093532",
            "telephone_number": "973-450-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MOUNTAIN NEPHROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "DEFRANCO",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-450-8999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA062557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100081",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatyiana Singletary
• Dianella R Sison, CRNA
• Jamielee Smith, MA, LPC, LCADC
• Maria D. Soliman, P.A.
• Adel Basily Sorial, MD
• Special Care OB/GYN Associates Inc
• Sphinx Life Coaching
• Spine and Healthcare Center of Belleville
• Spine and Rehabilitation Center of Belleville
• Etan B Spira, M.D.

• Nephrology Physician in Belleville, NJ
• Providers in Belleville, 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 May 12, 2009; 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.