Essex Renal & Medical Group,Llc

LBN: Essex Renal & Medical Group,Llc
Essex Renal & Medical Group,Llc is an health care organization with primary practice located at 511 S Orange Ave , South Orange NJ 07079-2636. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Essex Renal & Medical Group,Llc can be contacted via phone (973) 762-4720, or through Malhotra, Pooja via phone (973) 762-4720.

Contact Information

Primary practice address
511 S Orange Ave South Orange NJ 07079-2636
Phone: (973) 762-4720
Fax: (973) 762-3731
Website:
Map and Directions
Authorized official contact:
Name: Malhotra, Pooja Doctor of Medicine (MD)
Phone: (973) 762-4720

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA28189 New Jersey
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA28189 New Jersey

Profile Details

NPI number 1972545648
LBN Legal business name Essex Renal & Medical Group,Llc
DBA Doing business as
Authorized official Malhotra, Pooja Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 11th, 2022 - about 3 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 1972545648 NPPES
New Jersey MEDICAID 0023477

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