NPIMap

Individual provider Active NPI

Samuel Aminu Agahiu, MD

  • Nephrology Physician
  • Englewood, NJ
National Provider Identifier
1992967020
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA09131900 Issued in NJ
Practice address
300 Grand Ave Ste 101
Englewood, NJ 07631-6300
Phone
(201) 567-5787
Fax
(201) 567-7652
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 249859 NY
Nephrology Physician 207RN0300X 25MA09131900 NJ Primary

Addresses

Primary practice location

300 Grand Ave Ste 101
Englewood, NJ 07631-6300

Mailing address

120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000

Other practice location 1

242 N Main St
New City, NY 10956-5302
Phone (845) 323-4383

Other practice location 2

250 Old Hook Rd Ste 303B
Westwood, NJ 07675-3123
Phone (201) 567-5787

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com Direct

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
I20120829000351 NJ Practitioner - NephrologyPractitioner - Internal Medicine 2466609391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Albany Medical College of Union University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bergen County Improvement AuthorityGroup PAC ID 9032104047, 95 clinicians
Bergen Kidney Center PCGroup PAC ID 4183673478, 4 clinicians

Practice addresses (Care Compare)

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

300 Grand Ave
Suite 101
Englewood, NJ 07631-6300
Phone (201) 567-5787

Hospital & facility affiliations

  • DaVita Renal Center of Westwood Dialysis facility, Westwood, NJ, CCN 312523
  • FKC Tenafly Dialysis facility, Tenafly, NJ, CCN 312712
  • FMC Englewood Dialysis facility, Englewood, NJ, CCN 312536
  • FMC Holy Name Dialysis facility, Teaneck, NJ, CCN 312618
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Bergen New Bridge Medical Center Hospital, Paramus, NJ, CCN 310058
  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen County Improvement Authority CurrentSince Oct 24, 2024 Accepting new patients
Bergen County Improvement Authority Internal Medicine CurrentSince Oct 24, 2024 Accepting new patients
Bergen Kidney Center PC Nephrology CurrentSince Feb 12, 2018 Accepting new patients

Locations

300 Grand Ave
Ste 101
Englewood, NJ 07631
Phone (201) 408-5525

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

250 Old Hook Rd
Ste 303B
Westwood, NJ 07675
Phone (201) 567-5787

Interoperability endpoints

  • Direct secure messaging: sagahiu191509@ahs.direct-ci.com
  • Direct secure messaging: sagahiu52881@direct.acumenmd.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1992967020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316300",
            "telephone_number": "201-567-5787",
            "fax_number": "201-567-7652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 N Main St",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109565302",
            "country_code": "US",
            "telephone_number": "845-323-4383",
            "fax_number": "845-570-9571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Old Hook Rd Ste 303B",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076753123",
            "country_code": "US",
            "telephone_number": "201-567-5787",
            "fax_number": "201-567-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGAHIU",
        "first_name": "SAMUEL",
        "middle_name": "AMINU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "249859",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA09131900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.