NEW JERSEY KIDNEY CARE LLC
NPI 1194277392
Internal Medicine - Nephrology in Jersey City, NJ

Active since November 04, 2016CLIA 31D0107364 · Waiver
26 GREENVILLE AVE, JERSEY CITY, NJ 07305(201) 333-8222(201) 333-0095 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2024, Jul 25, 2019, Nov 4, 2016 (3 updates tracked since 2016).

About New Jersey Kidney Care Llc NPPES

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

NEW JERSEY KIDNEY CARE LLC (NPI 1194277392) is a healthcare organization registered as a nephrology in Jersey City, New Jersey and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains 3 additional practice locations, and lists Ryan Valle, President, as its authorized official.

NPPES Registry Identity

NPI1194277392
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEW JERSEY KIDNEY CARE LLC
Location Address26 GREENVILLE AVEJersey City, NJ 07305-2608
Mailing Address26 Greenville AveJersey City, NJ 07305-2608 · (201) 333-8222 · Fax (201) 333-0095
Fax(201) 333-0095
Organization SubpartNo
Authorized OfficialRyan VallePresident · (781) 699-9362
Enumeration DateNovember 4, 2016
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1194277392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
26 GREENVILLE AVE, Jersey City, NJ 07305

Secondary Practice Locations 3

Location 1862 BroadwayBayonne, NJ 07002-3054 · Phone (201) 333-8222 · Fax (201) 333-0095
Location 2510 31st St BsmtUnion City, NJ 07087-3907 · Phone (201) 866-3322 · Fax (201) 866-2289
Location 3377 Jersey Ave Ste 220Jersey City, NJ 07302-4396 · Phone (201) 333-8222 · Fax (201) 333-0095

Other Identifiers 1

Medicaid0595594NJ

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0107364

New Jersey Kidney Care, LLC · Union City, NJ
Active · expires Aug 31, 2026
CLIA Number31D0107364
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLochana Manandhar
Laboratory Phone(201) 333-8222
Laboratory LocationNew Jersey Kidney Care, LLC510 31st Street, Union City, NJ 07087
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 31D0109297

New Jersey Kidney Care, LLC · Jersey City, NJ
Expired · Jul 31, 2026
CLIA Number31D0109297
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorBassam Haddad
Laboratory Phone(201) 333-8222
Laboratory LocationNew Jersey Kidney Care, LLC26 Greenville Avenue, Jersey City, NJ 07305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Nurse Practitioner
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Pharmacy (Community/Retail Pharmacy)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Nurse Practitioner
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Nurse Practitioner (Family)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305
Internal Medicine (Nephrology)
26 GREENVILLE AVE
JERSEY CITY, NJ 07305

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 New Jersey Kidney Care LLC's NPI number?

The NPI number for New Jersey Kidney Care LLC is 1194277392. It was assigned to this organization in the NPPES registry on November 4, 2016.

Where is New Jersey Kidney Care LLC located?

New Jersey Kidney Care LLC is located at 26 Greenville Ave, Jersey City, NJ 07305. The listed phone number is (201) 333-8222.

What is New Jersey Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does New Jersey Kidney Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0107364) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Jersey Kidney Care LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list New Jersey 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 New Jersey Kidney Care LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.