SHORE NEPHROLOGY PA. (NPI# 1003926171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003926171 |
| Entity Type | Organization |
| Organization Name | SHORE NEPHROLOGY PA. |
| Other Organization Name | HUQ ,CRUZ AND STRAUSS MD.PA |
| Practice Address |
2100 Corlies Ave Suite 15 Neptune NJ 07753-6102 |
| Practice Telephone | 7329888228 |
| Practice Fax Number | 7324510059 |
| Mailing Telephone | 7329888228 |
| Mailing Fax Number | 7324510059 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-04-25 |
| Authorized Official Name | MUSTAK RAHMAN (BILLING CODING MANAGER) |
| Authorized Official Telephone | 7324555398 |
| Authorized Official Credential | CPC CPC-H |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2949806 | 05 | |
| NJ | UNITEDHEALTHCARE | CF5059 | 01 |
| NJ | AMERIHEALTH | 0115117000 | 01 |
| Other Name | Type Code |
|---|---|
| Huq ,Cruz and Strauss MD.PA | Former Legal Business Name - Organization |
| Street Address |
2100 CORLIES AVE SUITE 15 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063674 | Jersey Shore Radiology Associates, P.a. | Radiology | 2100 Corlies Ave, Neptune, NJ 07753-6102 | 2005-06-16 |
| 1437587326 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 2100 Corlies Ave, Suite 3, Neptune, NJ 07753-6102 | 2013-10-31 |
| 1215215819 | Tammy Lynn Wood | Physician Assistant | 2100 Corlies Ave, Suite 12, Neptune, NJ 07753-6102 | 2011-07-30 |
| 1881982197 | Belanger Podiatry Associates, LLC | Podiatrist | 2100 Corlies Ave, Suite 3, Neptune, NJ 07753-6102 | 2011-07-20 |
| 1538304019 | Jersey Shore Imaging, LLC | Radiology | 2100 Corlies Ave, Neptune, NJ 07753 | 2008-12-11 |
| 1124286083 | Harry James Dounis | Internal Medicine | 2100 Corlies Ave, Suite 15, Neptune, NJ 07753-6102 | 2008-05-28 |
| 1629259882 | Neptune Foot Care Center | Durable Medical Equipment & Medical Supplies | 2100 Corlies Ave, Neptune, NJ 07753-6102 | 2007-11-16 |
| 1255531224 | Atlantic Shore Medical, Pa | Internal Medicine | 2100 Corlies Ave, Suite # 20, Neptune, NJ 07753-6102 | 2007-07-18 |
| 1548276769 | Don Woo Choi | Internal Medicine | 2100 Corlies Ave, Suite 17, Neptune, NJ 07753-0903 | 2006-07-31 |
| 1306888789 | Lookman K Odejobi | Internal Medicine | 2100 Corlies Ave, Suite # 20, Neptune, NJ 07753-6102 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| 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 |
|---|---|---|---|---|
| 1982692265 | Indu Sharma | Internal Medicine | 1915 6th Ave, Neptune, NJ 07753-4835 | 2005-10-11 |
| 1124286083 | Harry James Dounis | Internal Medicine | 2100 Corlies Ave, Suite 15, Neptune, NJ 07753-6102 | 2008-05-28 |
| 1487824538 | Indu Sharma Md Pa | Internal Medicine | 1915 6th Ave, Neptune, NJ 07753-4835 | 2008-03-05 |
| 1598709941 | Arif Asif | Internal Medicine | 19 Davis Ave Fl 6, Neptune, NJ 07753-4488 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091878 | Vitality Medical Associates | Internal Medicine | 561 East 28th Street, Paterson, NJ 07504-1862 | 2020-10-21 |
| 1396377784 | Dr Walead Latif Professional Corporation | Internal Medicine | 1 Thistle Ln, Warren, NJ 07059-5564 | 2020-02-04 |
| 1225508203 | Arianna Hope Sanborn | Internal Medicine | 1261 Route 38 Ste A, Hainesport, NJ 08036-2702 | 2018-12-03 |
| 1518417203 | Ajay Singh | Internal Medicine | 6 Bradford Ct, West Windsor, NJ 08550-3032 | 2016-10-06 |
| 1124571849 | Kathryn Anne Feldenzer | Internal Medicine | 41 Endicott Rd, Hamilton Square, NJ 08690-2145 | 2016-07-28 |
| 1104272368 | Aruna Yeldanidi Md LLC | Internal Medicine | 19 Cornell Dr, Livingston, NJ 07039-5504 | 2016-05-06 |
| 1972997146 | Adedamola Moji Adeboye | Internal Medicine | 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703 | 2015-03-25 |
| 1457757726 | Vascular Access Center of Central New Jersey LLC | Internal Medicine | 1 Wills Way, Piscataway, NJ 08854-3770 | 2014-11-13 |
| 1851706410 | Eric S. Cantor | Internal Medicine | 1 Cedar Brook Drive, Cranbury, NJ 08512 | 2014-06-23 |
| 1821410192 | Lilian Saro-nunez | Internal Medicine | 360 Essex St Ste 304, Hackensack, NJ 07601-8566 | 2014-01-06 |
| Find all providers with the same taxonomy | ||||
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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.