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KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC
NPI 1326236647
Internal Medicine - Nephrology in Maplewood, NJ

Active since October 11, 2007CLIA 31D1074383 · Waiver
2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040(973) 763-1100(973) 763-1122 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kodali Nephrology And Hypertention Center Llc NPPES

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

KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC (NPI 1326236647) is a healthcare organization registered as a nephrology in Maplewood, New Jersey and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Padmaja Kodali, Doctor, as its authorized official.

NPPES Registry Identity

NPI1326236647
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKODALI NEPHROLOGY AND HYPERTENTION CENTER LLC
Location Address2040 MILLBURN AVE, SUITE 403Maplewood, NJ 07040-3726
Mailing Address2040 Millburn Ave, Suite 403Maplewood, NJ 07040-3726 · (973) 763-1100 · Fax (973) 763-1122
Phone(973) 763-1100
Fax(973) 763-1122
Organization SubpartNo
Authorized OfficialPadmaja KodaliDoctor · (973) 763-1100
Enumeration DateOctober 11, 2007
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1326236647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA06878300
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.

2040 MILLBURN AVE, Maplewood, NJ 07040
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN098717
Medicare UPINH29863
Medicaid8348707NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 31D1074383

Kodali Nephrology & Hypertension Center · Maplewood, NJ
Active · expires Sep 26, 2027
CLIA Number31D1074383
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorPadmaja Kodali
Laboratory Phone(973) 763-1100
Laboratory LocationKodali Nephrology & Hypertension Center1979 Springfield Avenue, 1st Floor, Maplewood, NJ 07040
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

JASMINE SOWAH
Social Worker
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (732) 639-0232
DR. ANGELO CECE D.M.D.
Dentist (General Practice)
2040 MILLBURN AVE, SUITE 105
MAPLEWOOD, NJ 07040
Essex County (973) 275-0700
DR. SAMUEL T DUNCAN M.D.
Ophthalmology
2040 MILLBURN AVE, SUITE 303
MAPLEWOOD, NJ 07040
Essex County (973) 762-4996
DR. OMAR M. BEY M.D.
Specialist
2040 MILLBURN AVE, 403
MAPLEWOOD, NJ 07040
Essex County (973) 761-6761
LAURA J DAVIS LCSW
Social Worker (Clinical)
2040 MILLBURN AVE, SUITE 205
MAPLEWOOD, NJ 07040
Essex County (973) 205-4875
KING DAVE HOME CARE LLC
In Home Supportive Care
2040 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (855) 546-6698
AIDA OB GYN ASSOCIATES CORPORATION
Specialist
2040 MILLBURN AVE, SUITE 401
MAPLEWOOD, NJ 07040
Essex County (973) 378-3111
CARL G. QUILLEN, M.D. P.A.
Specialist
2040 MILLBURN AVE, SUITE 405
MAPLEWOOD, NJ 07040
Essex County (973) 763-2320

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 Kodali Nephrology And Hypertention Center LLC's NPI number?

The NPI number for Kodali Nephrology And Hypertention Center LLC is 1326236647. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Kodali Nephrology And Hypertention Center LLC located?

Kodali Nephrology And Hypertention Center LLC is located at 2040 Millburn Ave Suite 403, Maplewood, NJ 07040. The listed phone number is (973) 763-1100.

What is Kodali Nephrology And Hypertention Center LLC's specialty?

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

Does Kodali Nephrology And Hypertention Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1074383) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kodali Nephrology And Hypertention Center LLC was last updated on January 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.