Modern Nephrology & Transplant, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MODERN NEPHROLOGY & TRANSPLANT, LLC

Practice address

767 Northfield Ave
West Orange, NJ 07052-1194

Phone

(973) 419-0417

Fax

(862) 766-5904

NPI assigned

Nov 22, 2006

Last updated

Aug 21, 2013By 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

Ms. Amelia L. Bonomini

Title

Secretary

Phone

(973) 419-0417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 7

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.

• Luigi Vittorio Bonomini, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1992771349
  Medicare reassignment Care Compare group NPD
• Lisette Helene Casagrande, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1912166877
  Medicare reassignment Care Compare group NPD
• Naga Malleswari Komati, MD

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1902014525
  Medicare reassignment Care Compare group NPD
• Neetha Mathew, DO

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1316501430
  Medicare reassignment Care Compare group NPD
• Nita K Shah, M.D.

  • Nephrology Physician
  • West Orange, NJ
  • NPI 1538139399
  Medicare reassignment Care Compare group NPD
• Joyce Margaret Gonin, MD

  • Nephrology Physician
  • Washington, DC
  • NPI 1396743183

  NJ

  Medicare reassignment Care Compare group NPD
• Dale Austin Lee, MD

  • Nephrology Physician
  • Morristown, NJ
  • NPI 1710407580
  Medicare reassignment NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1972678977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521194",
            "telephone_number": "973-419-0417",
            "fax_number": "862-766-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521194",
            "telephone_number": "973-419-0417",
            "fax_number": "862-766-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN NEPHROLOGY & TRANSPLANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "BONOMINI",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "973-419-0417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Misra, M.D.
• Tushar Jayantibhai Mistry, PHARM.D
• Robert Martin Misurell, ED.D.
• Barry A. Mitchell, PSY.D.
• Modern Dental New Jersey PC
• Modern Urology
• Kaushik Chhaganlal Modi, M.D.
• Mojan Moghaddam
• Richard Mohammed, LPC
• Krystal Lynn Moir, LCSW

• Specialist in West Orange, NJ
• Providers in West Orange, 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 21, 2013; 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.