Provider Demographics
NPI:1215024427
Name:HYPERTENSION & KIDNEY GROUP
Entity Type:Organization
Organization Name:HYPERTENSION & KIDNEY GROUP
Other - Org Name:WEST TOMS RIVER PRIMARY CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASGHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-431-2211
Mailing Address - Street 1:1251 RTE 37 W STE 200
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5050
Mailing Address - Country:US
Mailing Address - Phone:732-341-2211
Mailing Address - Fax:732-505-8229
Practice Address - Street 1:1251 RTE 37 W STE 200
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5050
Practice Address - Country:US
Practice Address - Phone:732-341-2211
Practice Address - Fax:732-505-8229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
526677Medicare ID - Type Unspecified