PATTNER & GRODSTEIN MD PA NPI 1932112950

NPI Information

NPI: 1932112950
Provider Name: PATTNER & GRODSTEIN MD PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 31D0708598

Address:
177 N DEAN ST
SUITE 207
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 567-0446
Get Directions

PATTNER & GRODSTEIN MD PA is a nephrology internal medicine in Englewood, 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. PATTNER & GRODSTEIN MD PA NPI is 1932112950. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

177 N DEAN ST
SUITE 207
ENGLEWOOD, NJ
ZIP 07631-533
Phone: (201) 567-0446
Fax: (201) 567-8775

The provider's authorized official is Austin M Pattner .
The authorized official title is President and has the following contact phone number (201) 567-0446.

The CLIA number assigned to this NPI record is 31D0708598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 10/1/2007.

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
1	207R00000X	Internal Medicine				No
2	207RN0300X	Internal Medicine	Nephrology			Yes

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
1	D18508	MEDICARE UPIN	NEW JERSEY
2	C53067	MEDICARE UPIN	NEW JERSEY
3	C53065	MEDICARE UPIN	NEW JERSEY
4	0396206	MEDICAID	NEW JERSEY
5	G35238	MEDICARE UPIN	NEW JERSEY
6	0520004	MEDICAID	NEW JERSEY
7	G60095	MEDICARE UPIN	NEW JERSEY
8	7449704	MEDICAID	NEW JERSEY
9	0036803	MEDICAID	NEW JERSEY
10	0911607	MEDICAID	NEW JERSEY
11	I15727	MEDICARE UPIN	NEW JERSEY
12	8262608	MEDICAID	NEW 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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