MONOGRAM HEALTH PROFESSIONAL SERVICES OF NEW JERSEY LLC
NPI 1578284246
Internal Medicine - Nephrology in Paramus, NJ

Q: What is Monogram Health Professional Services Of New Jersey LLC's specialty?

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

Active since September 09, 2022CLIA 31D2320781 · Waiver

140 E RIDGEWOOD AVE STE 415, PARAMUS, NJ 07652(615) 673-4455(615) 432-4651 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2022, Sep 9, 2022 (2 updates tracked since 2022).

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About Monogram Health Professional Services Of New Jersey Llc NPPES

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

MONOGRAM HEALTH PROFESSIONAL SERVICES OF NEW JERSEY LLC (NPI 1578284246) is a healthcare organization registered as a nephrology in Paramus, New Jersey and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Shawn L Verner, General Counsel/secretary, as its authorized official.

NPPES Registry Identity

NPI1578284246

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameMONOGRAM HEALTH PROFESSIONAL SERVICES OF NEW JERSEY LLC

Location Address140 E RIDGEWOOD AVE STE 415Paramus, NJ 07652-3915

Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (615) 465-8684 · Fax (629) 240-6003

Phone(615) 673-4455

Fax(615) 432-4651

Organization SubpartNo

Authorized OfficialShawn L VernerGeneral Counsel/secretary · (615) 994-1889

Enumeration DateSeptember 9, 2022

Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1578284246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ 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.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedSpecialistTaxonomy 174400000X

Also ListedPharmacist · CardiologyTaxonomy 1835C0206X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

140 E RIDGEWOOD AVE STE 415, Paramus, NJ 07652

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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 31D2320781

Monogram Health, Inc · Paramus, NJ

Active · expires Mar 23, 2027

CLIA Number31D2320781

Laboratory TypeMobile Laboratory

Certificate Effective DateMarch 24, 2025

Certificate Expiration DateMarch 23, 2027

Laboratory DirectorShaminder Gupta

Laboratory Phone(480) 204-9932

Laboratory LocationMonogram Health, Inc140 E Ridgewood Ave Ste 415, Paramus, NJ 07652

CLIA data matches this NPI record on: Address Name

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.

JEANIE M DEMARIO LPC, NCC

Counselor (Professional)