Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
CLINICAL RENAL ASSOCIATES, LLC
Active
Organization
CLINICAL RENAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY G. MARCUS M.D. (CHIEF OPERATING OFFICER)
(610) 872-8501
Entity
Organization
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 303, UPLAND, PA 19013-3955
(610) 872-8501
(610) 872-5188
Mailing address
850 W RIO SALADO PKWY STE 201, TEMPE, AZ 85281-3812
(480) 480-8330
(480) 610-6198
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000760867-0013
—
PA
01
—
0032975000
PERSONAL CHOICE
PA
01
—
045319
KEYSTONE MERCY
PA
01
—
110372
BCBS PA
PA
01
—
CF3534
RAIL ROAD MEDICARE
PA
Enumeration date
05/25/2006
Last updated
11/30/2023
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