Northeast Kidney Care LLC
NPI 1023889565ActiveOrganization· Internal Medicine· Brick, NJ
Internal Medicine in Brick, New Jersey, registered in NPPES in January 2024. The authorized official on file is Ankit Shah, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023889565 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2024 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Internal Medicine, Nephrology | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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