Provider Demographics
NPI:1053587071
Name:HYPERTENSION AND NEPHROLOGY SPECIALISTS LLC
Entity type:Organization
Organization Name:HYPERTENSION AND NEPHROLOGY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER/REGISTERED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:STERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-274-0928
Mailing Address - Street 1:62 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2715
Mailing Address - Country:US
Mailing Address - Phone:732-274-0928
Mailing Address - Fax:732-521-0833
Practice Address - Street 1:2 RESEARCH WAY
Practice Address - Street 2:SUITE 301
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-6816
Practice Address - Country:US
Practice Address - Phone:732-521-0800
Practice Address - Fax:732-521-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07721600207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0262897Medicaid
NJ0063428Medicaid
NJ124812OtherMEDICARE PTAN
NJI13977Medicare UPIN