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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: October 25, 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 Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Kidney Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Northeast Kidney Care LLC, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nephrology47
Nurse Practitioner25
Internal Medicine3
Diagnostic Radiology1
Neurology1
Vascular Surgery1

Nearest to this location (20)

See all 78
Olusola Akintola, NP
Nurse Practitioner
NPI 1316688468
210 JACK MARTIN BLVD # D1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Neethu Gopisetti, M.D.
Nephrology
NPI 1366977324
210 JACK MARTIN BLVD STE D1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Matthew Holt, FNP
Nurse Practitioner
NPI 1952061616
210 JACK MARTIN BLVD # D1
Brick, NJ 08724
(609) 312-1752
✔ PECOS✔ Accepts MedicareSame address
Thi Nguyen, APN
Nurse Practitioner
NPI 1831958511
210 JACK MARTIN BLVD STE D1
Brick, NJ 08724
(848) 329-7025
✔ PECOS✔ Accepts MedicareSame address
Jo Austin, NP-C
Nurse Practitioner
NPI 1548297237
210 JACK MARTIN BLVD STE D-1
Brick, NJ 08724
(732) 458-5854
✔ PECOSSame address
Daniel Brouder, MD
Nephrology
NPI 1659313963
210 JACK MARTIN BLVD SUITE D-1
Brick, NJ 08724
(732) 458-5067
✔ PECOS✔ Accepts MedicareSame address
Mary Jane Castillo, MSN, CRNP
Nurse Practitioner
NPI 1508357104
210 JACK MARTIN BLVD STE D-1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Nadeem Haider, MD
Nephrology
NPI 1508801390
210 JACK MARTIN BLVD SUITE D-1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Jose Iglesias, DO
Nephrology
NPI 1467498402
210 JACK MARTIN BLVD. SUITE D-1
Brick, NJ 08724
(732) 458-5067
✔ PECOS✔ Accepts MedicareSame address
Angelo Markatos, D.O.
Nephrology
NPI 1447279245
210 JACK MARTIN BLVD. SUITE D-1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Ariel Meyer, D.O.
Nephrology
NPI 1083887129
210 JACK MARTIN BLVD. SUITE D-1
Brick, NJ 08724
(732) 458-5067
✔ PECOS✔ Accepts MedicareSame address
Winicjusz Palecki, M.D.
Nephrology
NPI 1942240429
210 JACK MARTIN BLVD SUITE D-1
Brick, NJ 08724
(732) 458-5067
✔ PECOS✔ Accepts MedicareSame address
Mrugesh Panchani, M.D
Nephrology
NPI 1013213206
210 JACK MARTIN BLVD STE D1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Jin Park, M.D.
Nephrology
NPI 1902842057
210 JACK MARTIN BLVD SUITE D-1
Brick, NJ 08724
(732) 458-5067
✔ PECOS✔ Accepts MedicareSame address
Joseph Schirripa, M.D.
Nephrology
NPI 1609804384
210 JACK MARTIN BLVD SUITE D-1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Ankit Shah, M.D.
Nephrology
NPI 1972741957
210 JACK MARTIN BLVD SUITE D 1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Dirksen Taguiam, MSN, APN-C
Nurse Practitioner
NPI 1639640790
210 JACK MARTIN BLVD STE D-1
Brick, NJ 08724
(732) 458-5854
✔ PECOS✔ Accepts MedicareSame address
Richard Daniels, MD
Vascular Surgery
NPI 1417905043
54 BEY LEA RD SUITE 1
Toms River, NJ 08753
(732) 616-1801
✔ PECOS✔ Accepts Medicare7.3 mi
Amar Bhagat
Nephrology
NPI 1881126514
508 LAKEHURST RD STE 3A
Toms River, NJ 08755
(732) 341-4600
✔ PECOS✔ Accepts Medicare9.3 mi
Eliza Mae Tangonan, APN-C, PMHNP-BC
Nurse Practitioner
NPI 1477964971
100 WALNUT AVE STE 210
Clark, NJ 07066
(973) 620-2774
✔ PECOS✔ Accepts Medicare39 mi
See all 78 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Northeast Kidney Care LLC enrolled in Medicare?

Yes. Northeast Kidney Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Kidney Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 6 Medicare specialties reassign their Medicare billing to Northeast Kidney Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (47), Nurse Practitioner (25) and Internal Medicine (3). Of these, 17 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Kidney Care LLC accept?

Health plans from Oscar Health 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 23 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.