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SBK MD GROUP LLC NPI 1023373057


NPI Information

NPI: 1023373057
Provider Name: SBK MD GROUP, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
2083 CENTER AVE
SUITE 3A
FORT LEE, NJ
ZIP 07024
Phone: (201) 461-5900
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SBK MD GROUP, LLC is a nephrology internal medicine in Fort Lee, NJ. The provider is 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. SBK MD GROUP, LLC NPI is 1023373057. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2083 CENTER AVE
SUITE 3A
FORT LEE, NJ
ZIP 07024-400
Phone: (201) 461-5900
Fax: (201) 461-5904

The provider's authorized official is Stanley S Kim .
The authorized official title is Member and has the following contact phone number (201) 461-5900.

The enumeration date for this NPI number is 7/5/2012 and was last updated on 4/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyMA64078NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F73638MEDICARE UPINNEW JERSEY
27879601MEDICAIDNEW JERSEY
3878740VYHMEDICARE PINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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