Organization
KIDNEY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON V SEGUN MD (MD)
(973) 996-2727
Entity
Organization
Contact information
Practice address
2130 MILLBURN AVE, SUITE C3, MAPLEWOOD, NJ 07040-3725
(973) 996-2727
(973) 763-2558
Mailing address
PO BOX 373, SHORT HILLS, NJ 07078-2152
(973) 373-0903
(973) 373-1087
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA08683000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194956490
INDIVIDUAL NPI
NJ
Enumeration date
03/04/2014
Last updated
04/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us