Organization Active NPI

Kidney Specialty Clinic P a

  • Nephrology Physician
  • Newton, NJ
National Provider Identifier
1982642674
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
KIDNEY SPECIALTY CLINIC P A
Practice address
222 High St
Suite 206
Newton, NJ 07860-9604
Phone
(973) 300-1289
Fax
(973) 300-9573
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Dennis Jardiel Talon, M.D.NPI 1225193451
Title
President/Owner
Phone
(973) 300-1289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

222 High St
Suite 206
Newton, NJ 07860-9604

Mailing address

222 High St
Suite 206
Newton, NJ 07860-9604
Phone (973) 300-1289

National Provider Directory

National Provider Directory

Locations

222 High St
Ste 206
Newton, NJ 07860
Phone (646) 397-4068

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1982642674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "address_2": "SUITE 206",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609604",
            "telephone_number": "973-300-1289",
            "fax_number": "973-300-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 HIGH ST",
            "address_2": "SUITE 206",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078609604",
            "telephone_number": "973-300-1289",
            "fax_number": "973-300-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY SPECIALTY CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "TALON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JARDIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "973-300-1289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.