Essex Kidney Group, Llc

LBN: Essex Kidney Group, Llc
Essex Kidney Group, Llc is an health care organization with primary practice located at 111 Central Ave , Newark NJ 07102-1909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Essex Kidney Group, Llc can be contacted via phone (973) 624-4908, or through Chenitz, William R via phone (973) 624-4908.

Contact Information

Primary practice address
111 Central Ave Newark NJ 07102-1909
Phone: (973) 624-4908
Fax: (973) 877-5595
Website:
Map and Directions
Authorized official contact:
Name: Chenitz, William R Doctor of Medicine (MD)
Phone: (973) 624-4908

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA02177700 New Jersey

Profile Details

NPI number 1033357132
LBN Legal business name Essex Kidney Group, Llc
DBA Doing business as
Authorized official Chenitz, William R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2009
Last updated Apr 29th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033357132 NPPES
New Jersey MEDICAID 1161709

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