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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA02177700 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 1161709 | 05 |
Street Address |
111 CENTRAL AVE |
City | NEWARK |
State | NJ |
Zip Code | 07102-1909 |
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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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 |
Find all providers in zip 07102 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
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. |
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 |
Find all providers in NEWARK |
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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.