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NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY
NPI 1568409464
Internal Medicine - Nephrology in Holmdel, NJ

Active since May 31, 2006
721 N BEERS ST, SUITE 1F, HOLMDEL, NJ 07733(732) 888-9100(732) 888-5515 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nephrology Services Medical Group Of New Jersey NPPES

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

NEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY (NPI 1568409464) is a healthcare organization registered as a nephrology in Holmdel, New Jersey and active in the NPI registry since May 2006. The organization lists Jean A. Otrakji, President, as its authorized official.

NPPES Registry Identity

NPI1568409464
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNEPHROLOGY SERVICES MEDICAL GROUP OF NEW JERSEY
Location Address721 N BEERS ST, SUITE 1FHolmdel, NJ 07733-1518
Mailing Address721 N Beers St, Suite 1fHolmdel, NJ 07733-1518 · (732) 888-9100 · Fax (732) 888-5515
Phone(732) 888-9100
Fax(732) 888-5515
Organization SubpartNo
Authorized OfficialJean A. OtrakjiPresident · (732) 888-9100
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 23, 2011
✔ NPI 1568409464 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 · 25MA04735600
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.
721 N BEERS ST, Holmdel, NJ 07733
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified000695310NJ
Medicaid6940803NJ

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nephrology Services Medical Group Of New Jersey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nephrology Services Medical Group Of New Jersey, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jean Otrakji, M.D.
Nephrology
NPI 1154380996
721 N BEERS ST SUITE 1-F
Holmdel, NJ 07733
(732) 888-9100
✔ PECOS✔ Accepts MedicareSame address
Anne Venezia, N.P.
Nurse Practitioner
NPI 1336263680
721 N BEERS ST SUITE 1-F
Holmdel, NJ 07733
(732) 888-9100
✔ PECOS✔ Accepts MedicareSame address

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 Nephrology Services Medical Group Of New Jersey's NPI number?

The NPI number for Nephrology Services Medical Group Of New Jersey is 1568409464. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Nephrology Services Medical Group Of New Jersey located?

Nephrology Services Medical Group Of New Jersey is located at 721 N Beers St Suite 1F, Holmdel, NJ 07733. The listed phone number is (732) 888-9100.

What is Nephrology Services Medical Group Of New Jersey's specialty?

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

Is Nephrology Services Medical Group Of New Jersey enrolled in Medicare?

Yes. Nephrology Services Medical Group Of New Jersey is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nephrology Services Medical Group Of New Jersey?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nephrology Services Medical Group Of New Jersey, in Nephrology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nephrology Services Medical Group Of New Jersey was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.