Provider Demographics
NPI:1164412540
Name:NEPHROLOGY HYPERTENSION ASSOCIATES OF CENTRAL JERSEY PA
Entity Type:Organization
Organization Name:NEPHROLOGY HYPERTENSION ASSOCIATES OF CENTRAL JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:B
Authorized Official - Last Name:COVIT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-390-4888
Mailing Address - Street 1:8 OLD BRIDGE TPKE
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882-2400
Mailing Address - Country:US
Mailing Address - Phone:732-390-4888
Mailing Address - Fax:732-390-0255
Practice Address - Street 1:8 OLD BRIDGE TPKE
Practice Address - Street 2:
Practice Address - City:SOUTH RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08882-2400
Practice Address - Country:US
Practice Address - Phone:732-390-4888
Practice Address - Fax:732-390-0255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3377806Medicaid
NJ3377806Medicaid