ESSEX KIDNEY GROUP, LLC


Address: 111 Central Ave, Newark, NJ 07102-1909
Phone: 9736244908

ESSEX KIDNEY GROUP, LLC (NPI# 1033357132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033357132
Entity Type Organization
Organization Name ESSEX KIDNEY GROUP, LLC
Practice Address 111 Central Ave
Newark
NJ 07102-1909
Practice Telephone 9736244908
Practice Fax Number 9738775595
Mailing Telephone 9736244908
Mailing Fax Number 9738775595
Enumeration Date 2009-01-27
Last Update Date 2009-04-29
Authorized Official Name WILLIAM R CHENITZ (MEDICAL DOCTOR-PRESIDENT)
Authorized Official Telephone 9736244908
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
25MA02177700 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 1161709 05

Office Location

Street Address 111 CENTRAL AVE
City NEWARK
State NJ
Zip Code 07102-1909

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780687806 Sandhya R Makkapati Specialist 111 Central Ave, Newark, NJ 07102-1909 2005-05-23
1740892496 Stella Monday Wangai Nurse Practitioner 111 Central Ave, Newark, NJ 07102-1909 2020-08-22
1144832932 Sonya Wali Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-08-21
1023620358 Chrystina Mildred Kiwan Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-08-18
1518579838 Alicia Kovach Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-08-18
1861003659 Riyashat Kazmi Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-08-13
1114537610 Kalee Larsen Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-08-09
1215547567 Nirav Patel Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-08-02
1720697238 Sneha Bijoy Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-07-30
1407465891 Ruhma Ali Student in an Organized Health Care Education/Training Program 111 Central Ave, Newark, NJ 07102-1909 2020-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487253779 Integrity, Inc Clinic/Center 1091-1093 Broad Street, Newark, NJ 07102 2020-10-19
1881292720 Oluwaseun Ademulegun Pharmacist 1084 Broad Street, Newark, Newark, NJ 07102 2020-10-13
1679042295 Henry Paul Grayner Specialist/Technologist 100 Lock St, Newark, NJ 07102 2018-11-14
1548736838 Integrity, Inc Substance Abuse Rehabilitation Facility 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 2018-10-15
1962981407 Crystal Kay-baune Mccown Social Worker 130 Orange St, Newark, NJ 07102 2018-08-07
1053808865 Nubi Consultants Corp. Dba Aplus Home Care Physical Therapist 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 2018-04-17
1396249264 Integrity, Inc Substance Abuse Rehabilitation Facility 49 Lincoln Park, Newark, NJ 07102 2018-03-23
1568960896 Saint James Health Inc Clinic/Center 36 Halsey Street, Newark, NJ 07102 2018-02-01
1992216527 Metropolitan Center for Human Services Psychologist 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 2017-10-23
1467974949 Ahmad Mohammad Tawfiq Damati Student in an Organized Health Care Education/Training Program 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 2017-07-17
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770619348 Mid Ohio Nephrology and Hypertension LLC Internal Medicine 1910 Tamarack Rd, Newark, OH 43055-2303 2007-02-26
1184717399 Rubeen K Israni Internal Medicine 12 Celestial Way, Newark, DE 19711 2006-10-02
1679584841 Virginia Upchurch Collier Internal Medicine Christiana Hospital, 4755 Ogletown Stanton Road, Newark, DE 19718-0002 2006-08-11
1689612335 Inderpal S. Chadha Internal Medicine 539 Bloomfield Ave, Newark, NJ 07107-1385 2006-06-03
1033168554 Hintsa Tewoldemedin Internal Medicine 42 Messimer Dr, Newark, OH 43055-1842 2006-05-10
1891780409 Robert Dressler Internal Medicine 4755 Ogletown-stanton Road, Newark, DE 19718 2005-09-20
1699773663 Jeffrey S Cicone Internal Medicine 1092 Old Churchmans Rd, Newark, DE 19713-2102 2005-07-13
1700889250 Daniel Halevy Internal Medicine 3 Penn Plz E # Pp-12s, Newark, NJ 07105-2258 2005-05-27
1821695826 Providence Kidney & Hypertension Specialists LLC Internal Medicine 1406 Dickerson St, Newark, OH 43055-1844 2020-10-03
1255889572 Somatus Nephrology of Delaware, LLC Internal Medicine 620 Stanton Christiana Rd, Suite 101, Newark, DE 19713-2133 2016-09-15
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City NEWARK
Zip Code 07102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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