| Kidney Care Of Morris County Llc | |
|
131 Madison Ave Ste 3 Morristown NJ 07960-7360 | |
| (973) 631-6223 | |
| (973) 631-6225 |
| Full Name | Kidney Care Of Morris County Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 131 Madison Ave Ste 3, Morristown, New Jersey |
| Authorized Official Name and Position | Shubho Sarkar (OWNER) |
| Authorized Official Contact | 9736316223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Care Of Morris County Llc 131 Madison Ave Ste 3 Morristown NJ 07960-7360 Ph: (973) 631-6223 | Kidney Care Of Morris County Llc 131 Madison Ave Ste 3 Morristown NJ 07960-7360 Ph: (973) 631-6223 |
| NPI Number | 1396265708 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8022380799 |
|---|---|
| Medicare Enrollment ID | O20170816001793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396265708 | NPI | - | NPPES |
| 0164674 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08385900 (New Jersey) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA08385900 (New Jersey) | Primary |
| Provider Name | Shubho R Sarkar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932375581 PECOS PAC ID: 2264506393 Enrollment ID: I20080807000062 |
| Provider Name | Barry A Eppinger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1336233956 PECOS PAC ID: 9436223435 Enrollment ID: I20100830000111 |
| Provider Name | Ayesha Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942565742 PECOS PAC ID: 1153626684 Enrollment ID: I20160222002096 |
| Provider Name | Nicole Malgorzata Wrobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336733856 PECOS PAC ID: 2860892551 Enrollment ID: I20210617001125 |
| Provider Name | Dale A Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710407580 PECOS PAC ID: 4587020227 Enrollment ID: I20230522003341 |
| Provider Name | Marie Andrelina Fequiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104533272 PECOS PAC ID: 0244678217 Enrollment ID: I20240410000761 |
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