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NORTHEAST KIDNEY CARE LLC
NPI 1023889565
Internal Medicine in Brick, NJ

Active since January 12, 2024
210 JACK MARTIN BLVD STE D1, BRICK, NJ 08724(732) 458-5854 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Nov 12, 2024, Feb 9, 2024 (3 updates tracked since 2024).

About Northeast Kidney Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST KIDNEY CARE LLC (NPI 1023889565) is a healthcare organization registered as an internal medicine in Brick, New Jersey and active in the NPI registry since January 2024. The organization lists Ankit Shah, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1023889565
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST KIDNEY CARE LLC
Location Address210 JACK MARTIN BLVD STE D1Brick, NJ 08724-7771
Mailing Address210 Jack Martin Blvd Ste D1Brick, NJ 08724-7771 · (732) 458-5854
Phone(732) 458-5854
Organization SubpartNo
Authorized OfficialAnkit ShahAuthorized Official · (732) 458-5854
Enumeration DateJanuary 12, 2024
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1023889565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
210 JACK MARTIN BLVD STE D1, Brick, NJ 08724
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MRUGESH CHHAGANLAL PANCHANI M.D
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD STE D1
BRICK, NJ 08724
Ocean County (732) 458-5854
NEETHU GOPISETTI M.D.
Internal Medicine (Nephrology)
210 JACK MARTIN BLVD STE D1
BRICK, NJ 08724
Ocean County (732) 458-5854
THI THERESA NGUYEN APN
Nurse Practitioner (Family)
210 JACK MARTIN BLVD STE D1
BRICK, NJ 08724
Ocean County (848) 329-7025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Kidney Care LLC's NPI number?

The NPI number for Northeast Kidney Care LLC is 1023889565. It was assigned to this organization in the NPPES registry on January 12, 2024.

Where is Northeast Kidney Care LLC located?

Northeast Kidney Care LLC is located at 210 Jack Martin Blvd Ste D1, Brick, NJ 08724. The listed phone number is (732) 458-5854.

What is Northeast Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

What insurance does Northeast Kidney Care LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Northeast Kidney Care LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Kidney Care LLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.