South Mountain Nephrology, Llc

LBN: South Mountain Nephrology, Llc
South Mountain Nephrology, Llc is an health care organization with primary practice located at 5 Franklin Ave Suite 401, Belleville NJ 07109-3532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. South Mountain Nephrology, Llc can be contacted via phone (973) 450-8999, or through Defranco, Penny E via phone (973) 450-8999.

Contact Information

Primary practice address
5 Franklin Ave Suite 401 Belleville NJ 07109-3532
Phone: (973) 450-8999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Defranco, Penny E Doctor of Medicine (MD)
Phone: (973) 450-8999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA062557 New Jersey

Profile Details

NPI number 1851403927
LBN Legal business name South Mountain Nephrology, Llc
DBA Doing business as
Authorized official Defranco, Penny E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated May 12th, 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 1851403927 NPPES
New Jersey MEDICAID 0100081

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