Provider Demographics
NPI:1033236617
Name:HYPERTENSION AND RENAL GROUP, P.A.
Entity Type:Organization
Organization Name:HYPERTENSION AND RENAL GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIPZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-994-4550
Mailing Address - Street 1:22 OLD SHORT HILLS RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5604
Mailing Address - Country:US
Mailing Address - Phone:973-994-4550
Mailing Address - Fax:973-994-7085
Practice Address - Street 1:22 OLD SHORT HILLS RD
Practice Address - Street 2:SUITE 212
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5604
Practice Address - Country:US
Practice Address - Phone:973-994-4550
Practice Address - Fax:973-994-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2812401Medicaid
NJ2812401Medicaid