Healthcare Provider Details

I. General information

NPI: 1225265853
Provider Name (Legal Business Name): ASSOCIATED RENAL & HYPERTENSION GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 06/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 CLYDE RD
SOMERSET NJ
08873-5033
US

IV. Provider business mailing address

12 CALDWELL CT
BASKING RIDGE NJ
07920-3811
US

V. Phone/Fax

Practice location:
  • Phone: 732-873-1400
  • Fax: 732-960-3444
Mailing address:
  • Phone: 908-326-3574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberMB078937
License Number StateNJ

VIII. Authorized Official

Name: DR. PARISA HAKIMZADEH
Title or Position: PRESIDENT
Credential: D.O.
Phone: 732-873-1400