MEDICARE: NEPHROLOGY HYPERTENSION ASSOCIATES OF CENTRAL JERSEY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164412540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEPHROLOGY HYPERTENSION ASSOCIATES OF CENTRAL JERSEY PA

Provider Business Mailing Address
First Line	:	8 OLD BRIDGE TPKE
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-2400
Country	:	US
Telephone Number	:	732-390-4888
Fax Number	:	732-390-0255

Provider Business Practice Location Address
First Line	:	8 OLD BRIDGE TPKE
Second Line	:
City	:	SOUTH RIVER
State	:	NJ
Zip	:	08882-2400
Country	:	US
Telephone Number	:	732-390-4888
Fax Number	:	732-390-0255

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	ANDREW B COVIT
Credential	:	MD
Telephone Number	:	732-390-4888

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	08/22/2020

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