Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY
Active
Organization
NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN A. OTRAKJI M.D. (PRESIDENT)
(732) 888-9100
Entity
Organization
Contact information
Practice address
721 N BEERS ST, SUITE 1F, HOLMDEL, NJ 07733-1518
(732) 888-9100
(732) 888-5515
Mailing address
721 N BEERS ST, SUITE 1F, HOLMDEL, NJ 07733-1518
(732) 888-9100
(732) 888-5515
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA04735600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6940803
—
NJ
Enumeration date
05/31/2006
Last updated
03/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up