Northeast Kidney Care Llc - Medicare Primary Care in Brick, NJ

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Northeast Kidney Care Llc is a medicare enrolled primary clinic (Internal Medicine) in Brick, New Jersey. The current practice location for Northeast Kidney Care Llc is 210 Jack Martin Blvd Ste D1, Brick, New Jersey. For appointments, you can reach them via phone at (732) 458-5854. The mailing address for Northeast Kidney Care Llc is 210 Jack Martin Blvd Ste D1, Brick, New Jersey and phone number is (732) 458-5854.

Northeast Kidney Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1023889565. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (732) 458-5854.

Contact Information

Northeast Kidney Care Llc
210 Jack Martin Blvd Ste D1
Brick
NJ 08724-7771
(732) 458-5854
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameNortheast Kidney Care Llc
SpecialityInternal Medicine
Location210 Jack Martin Blvd Ste D1, Brick, New Jersey
Authorized Official Name and PositionAnkit Shah (AUTHORIZED OFFICIAL)
Authorized Official Contact7324585854
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Kidney Care Llc
210 Jack Martin Blvd Ste D1
Brick
NJ 08724-7771

Ph: (732) 458-5854		Northeast Kidney Care Llc
210 Jack Martin Blvd Ste D1
Brick
NJ 08724-7771

Ph: (732) 458-5854

NPI Details:

NPI Number1023889565
Provider Enumeration Date01/12/2024
Last Update Date11/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8921445032
Medicare Enrollment IDO20240326000203

Medical Identifiers

Medical identifiers for Northeast Kidney Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023889565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RN0300XInternal Medicine - Nephrology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Kidney Care Llc acts as a billing entity for following providers:
Provider NameAnthony Brown
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1780631150
PECOS PAC ID: 8729077672
Enrollment ID: I20040507000194
Provider NameDaniel Joseph Brouder
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1659313963
PECOS PAC ID: 5890779482
Enrollment ID: I20040614000063
Provider NamePriyesh T Thakkar
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1689683815
PECOS PAC ID: 0547231235
Enrollment ID: I20040805000107
Provider NameJoseph P Zingrone
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1619923109
PECOS PAC ID: 6608849344
Enrollment ID: I20040819000540
Provider NameTherese K Koch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598712960
PECOS PAC ID: 8527032184
Enrollment ID: I20040820000677
Provider NameCarmen Canals-navas
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1144277518
PECOS PAC ID: 6002889797
Enrollment ID: I20040820000734
Provider NameEvelynn F Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073652830
PECOS PAC ID: 0749255438
Enrollment ID: I20040826001150
Provider NameNeil Lyman
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1619078367
PECOS PAC ID: 9537054390
Enrollment ID: I20040827000309
Provider NameAngelo Markatos
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1447279245
PECOS PAC ID: 0345218509
Enrollment ID: I20040924000378
Provider NamePaul J Svigals
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265452684
PECOS PAC ID: 2062460033
Enrollment ID: I20050107000392
Provider NameRichard Daniels
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1417905043
PECOS PAC ID: 3577476837
Enrollment ID: I20050722000017
Provider NameGerardo Varallo
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1821044496
PECOS PAC ID: 0143232850
Enrollment ID: I20060621000241
Provider NameMelind R Pandya
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1396853602
PECOS PAC ID: 6305843384
Enrollment ID: I20061106000075
Provider NameSacha Balmir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255438131
PECOS PAC ID: 2264431451
Enrollment ID: I20061218000139
Provider NameJoseph Schirripa
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1609804384
PECOS PAC ID: 6204937915
Enrollment ID: I20070725000409
Provider NameJay Shastri
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1477758720
PECOS PAC ID: 5496856924
Enrollment ID: I20070727000024
Provider NameKezia J Alberto
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1073721809
PECOS PAC ID: 1951494954
Enrollment ID: I20070907000115
Provider NameMark B Schuster
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1851595565
PECOS PAC ID: 5597835413
Enrollment ID: I20080604000522
Provider NameCharles O Nnewihe
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1760419097
PECOS PAC ID: 1557424645
Enrollment ID: I20090115000628
Provider NameJeffrey W Goodman
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1316977416
PECOS PAC ID: 0648266403
Enrollment ID: I20090713000624
Provider NameAriel Meyer
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1083887129
PECOS PAC ID: 2668528787
Enrollment ID: I20090915000334
Provider NameJose I Iglesias
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1467498402
PECOS PAC ID: 9335280197
Enrollment ID: I20091231000171
Provider NameNadeem Z. Haider
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1508801390
PECOS PAC ID: 8022159409
Enrollment ID: I20100107000295
Provider NameJin S Park
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1902842057
PECOS PAC ID: 5597749408
Enrollment ID: I20100201000604
Provider NameWinicjusz Palecki
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1942240429
PECOS PAC ID: 8426136623
Enrollment ID: I20100202000031
Provider NameJo E. Austin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548297237
PECOS PAC ID: 6103961172
Enrollment ID: I20100302000239
Provider NameJay Irving Stack
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1245325026
PECOS PAC ID: 5890869895
Enrollment ID: I20100826001010
Provider NameMichael D Yoslov
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1780653956
PECOS PAC ID: 9133270606
Enrollment ID: I20100925000085
Provider NameRobert David Zenenberg
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1245331834
PECOS PAC ID: 9234149014
Enrollment ID: I20101022000805
Provider NameGopika Banker
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1649460189
PECOS PAC ID: 4587852496
Enrollment ID: I20101220000482
Provider NameGeralyn M Gedaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013221050
PECOS PAC ID: 0143419374
Enrollment ID: I20110104000800
Provider NameNitesh M Patel
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1639360910
PECOS PAC ID: 4183802226
Enrollment ID: I20110621000108
Provider NameRobert J Mathews
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1902060221
PECOS PAC ID: 9739253147
Enrollment ID: I20110928000578
Provider NameRaymond Schreyer
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1518976745
PECOS PAC ID: 5991738973
Enrollment ID: I20111122000758
Provider NameNitin Behl
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235423807
PECOS PAC ID: 9234396847
Enrollment ID: I20120209000710
Provider NameAnkit Prafulbhai Shah
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1972741957
PECOS PAC ID: 1052551751
Enrollment ID: I20130701000058
Provider NameSeema Karanjgaokar
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1841521598
PECOS PAC ID: 0143407411
Enrollment ID: I20130725000811
Provider NameJessica Bonner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588053326
PECOS PAC ID: 4587982137
Enrollment ID: I20150413000634
Provider NameMrugesh C Panchani
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1013213206
PECOS PAC ID: 3476867086
Enrollment ID: I20150727001826
Provider NameLacey A Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710362520
PECOS PAC ID: 5890004782
Enrollment ID: I20151015000777
Provider NameEliza Mae M Tangonan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477964971
PECOS PAC ID: 2163725151
Enrollment ID: I20160408001265
Provider NameKarandeep S Jagpal
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1457632572
PECOS PAC ID: 8224317334
Enrollment ID: I20161114000734
Provider NameYiling Yao
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992246839
PECOS PAC ID: 9739459868
Enrollment ID: I20170724001730
Provider NameJanet I Ojeabulu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013250646
PECOS PAC ID: 4688939580
Enrollment ID: I20180524000681
Provider NameRiffat Khan
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1447517321
PECOS PAC ID: 6608164017
Enrollment ID: I20180829004723
Provider NameMary Jane Castillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508357104
PECOS PAC ID: 5991055576
Enrollment ID: I20180830003453
Provider NameLaura M. Perrin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720561715
PECOS PAC ID: 7517208580
Enrollment ID: I20190402000009
Provider NameDirksen Taguiam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639640790
PECOS PAC ID: 8921349853
Enrollment ID: I20190403000100
Provider NameSneha Shrestha
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1295146058
PECOS PAC ID: 4880927052
Enrollment ID: I20190604001288
Provider NameGary Romaka
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1316280852
PECOS PAC ID: 6002197712
Enrollment ID: I20190604002882
Provider NameAzza Abdel Hak
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1508135906
PECOS PAC ID: 2567602600
Enrollment ID: I20190822000176
Provider NameHillary Jo Driscoll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801415112
PECOS PAC ID: 3779902465
Enrollment ID: I20200930000133
Provider NameMichael Dennis Appleton
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1811346927
PECOS PAC ID: 4981013810
Enrollment ID: I20210506000244
Provider NameMatthew A Holt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952061616
PECOS PAC ID: 4587058102
Enrollment ID: I20220224002521
Provider NameNeethu Gopisetti
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1366977324
PECOS PAC ID: 4789954611
Enrollment ID: I20220602001018
Provider NameOlusola R Akintola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316688468
PECOS PAC ID: 0749669455
Enrollment ID: I20220625000356
Provider NameAshton Roxie Paulus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972244333
PECOS PAC ID: 4385029438
Enrollment ID: I20220910000107
Provider NameNicole E Nardiello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720702871
PECOS PAC ID: 4880063767
Enrollment ID: I20221215002641
Provider NameAmar M Bhagat
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1881126514
PECOS PAC ID: 6204208440
Enrollment ID: I20230216000050
Provider NameBrittany Nicole Brothers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881350791
PECOS PAC ID: 8224404298
Enrollment ID: I20230227000043
Provider NameAmy Yongqing Mu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790563955
PECOS PAC ID: 5698122851
Enrollment ID: I20231109000109
Provider NameKelly Vazquez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558144030
PECOS PAC ID: 5496107914
Enrollment ID: I20240122000098
Provider NameNicole Elston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487412706
PECOS PAC ID: 8921447764
Enrollment ID: I20240412003201
Provider NameEric Fels
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1821089590
PECOS PAC ID: 8921178740
Enrollment ID: I20240415003548
Provider NameThi T Nguyen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831958511
PECOS PAC ID: 0840732038
Enrollment ID: I20240603003456
Provider NameYashika Jani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164254645
PECOS PAC ID: 7214469634
Enrollment ID: I20241010000810

Reviews and Comments


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Medicare: Not Enrolled in Medicare
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.