Organization
NORTH JERSEY NEPHROLOGY ASSOC. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARIS NORIEGA (PRACTICE MANAGER)
(973) 653-3366
Entity
Organization
Contact information
Practice address
246 HAMBURG TURNPIKE, SUITE#207, WAYNE, NJ 07470
(973) 653-3366
(973) 653-3365
Mailing address
246 HAMBURG TPKE, SUITE#207, WAYNE, NJ 07470-2156
(973) 653-3366
(973) 653-3365
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072037000
AMERIHEALTH
NJ
01
—
1042675
HORIZON NJ HEALTH
NJ
05
—
2692406-01
—
NJ
01
—
91001449300
AMERICHOICE
NJ
01
—
CC8414
RAILROAD MEDICARE
NJ
Enumeration date
08/30/2006
Last updated
04/25/2023
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