MODERN NEPHROLOGY & TRANSPLANT, LLC
NPI 1972678977
Specialist in West Orange, NJ

Active since November 22, 2006
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052(973) 419-0417(862) 766-5904 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Modern Nephrology & Transplant, Llc NPPES

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

MODERN NEPHROLOGY & TRANSPLANT, LLC (NPI 1972678977) is a healthcare organization registered as a specialist in West Orange, New Jersey and active in the NPI registry since November 2006. The organization lists Amelia L. Bonomini, Secretary, as its authorized official.

NPPES Registry Identity

NPI1972678977
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMODERN NEPHROLOGY & TRANSPLANT, LLC
Location Address767 NORTHFIELD AVEWest Orange, NJ 07052-1194
Mailing Address767 Northfield AveWest Orange, NJ 07052-1194 · (973) 419-0417 · Fax (862) 766-5904
Fax(862) 766-5904
Organization SubpartNo
Authorized OfficialAmelia L. BonominiSecretary · (973) 419-0417
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 21, 2013
✔ NPI 1972678977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
767 NORTHFIELD AVE, West Orange, NJ 07052

Other Identifiers 1

Medicare ID-Type Unspecified083828NJ

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Nephrology & Transplant, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20041007000578Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Modern Nephrology & Transplant, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nephrology
NPI 1992771349
767 NORTHFIELD AVE
West Orange, NJ 07052
(973) 419-0417
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1912166877
767 NORTHFIELD AVE WEST ORANGE
West Orange, NJ 07052
(973) 992-9022
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1902014525
767 NORTHFIELD AVENUE
West Orange, NJ 07052
(973) 419-0417
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1316501430
767 NORTHFIELD AVE
West Orange, NJ 07052
(973) 992-9022
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1538139399
767 NORTHFIELD AVE
West Orange, NJ 07052
(973) 992-9022
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1710407580
290 MADISON AVE BLDG NO 5, 2ND FLOOR
Morristown, NJ 07960
(973) 631-6223
✔ PECOS✔ Accepts Medicare8.3 mi
Nephrology
NPI 1396743183
3301 NEW MEXICO AVE NW SUITE 201
Washington, DC 20016
(202) 243-0271
✔ PECOS✔ Accepts Medicare195 mi

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 Modern Nephrology & Transplant, LLC's NPI number?

The NPI number for Modern Nephrology & Transplant, LLC is 1972678977. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Modern Nephrology & Transplant, LLC located?

Modern Nephrology & Transplant, LLC is located at 767 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 419-0417.

What is Modern Nephrology & Transplant, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Modern Nephrology & Transplant, LLC enrolled in Medicare?

Yes. Modern Nephrology & Transplant, LLC is registered in the Medicare PECOS enrollment system.

When is Modern Nephrology & Transplant, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Modern Nephrology & Transplant, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Modern Nephrology & Transplant, 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 (6) and Neurology (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Modern Nephrology & Transplant, LLC was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.