SOUTH MOUNTAIN NEPHROLOGY LLC NPI 1851403927

NPI Information

  • NPI: 1851403927
  • Provider Name: SOUTH MOUNTAIN NEPHROLOGY, LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 5 FRANKLIN AVE
    SUITE 401
    BELLEVILLE, NJ
    ZIP 07109
  • Phone: (973) 450-8999

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NPI Details

SOUTH MOUNTAIN NEPHROLOGY, LLC is a nephrology internal medicine in Belleville, 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. SOUTH MOUNTAIN NEPHROLOGY, LLC NPI is 1851403927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 FRANKLIN AVE
SUITE 401
BELLEVILLE, NJ
ZIP 07109-532
Phone: (973) 450-8999

The provider's authorized official is Penny E Defranco .
The authorized official title is President and has the following contact phone number (973) 450-8999.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/12/2009.

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 MedicineNephrologyMA062557NEW 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
10100081MEDICAIDNEW JERSEY
2089929MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
3G00972MEDICARE UPINNEW JERSEY

What is NPI?

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This page was last updated on: 3/30/2025

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