MEDICARE: THE NEPHROLOGY GROUP 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	:	1518934207
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE NEPHROLOGY GROUP PA

Provider Business Mailing Address
First Line	:	111 NORTHFIELD AVENUE
Second Line	:	SUITE 311
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-4703
Country	:	US
Telephone Number	:	973-325-2103
Fax Number	:	973-325-2254

Provider Business Practice Location Address
First Line	:	111 NORTH FIELD AVENUE
Second Line	:	SUITE 311
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-4703
Country	:	US
Telephone Number	:	973-325-2103
Fax Number	:	973-325-2254

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MELVIN VICTOR GOLDBLAT
Credential	:	MD
Telephone Number	:	973-325-2103

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	09/28/2023

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1326013202 — SANFORD COOPER MD
Practice Location Address:

111 NORTHFIELD AVE , STE 311
WEST ORANGE, NJ
07052-4703

Practice Phone: 973-325-2103
Practice Fax: 973-325-2254

1659346518 — HEATHER NADINE LEFKOWITZ MD
Practice Location Address:

111 NORTHFIELD AVENUE , SUITE 311
WEST ORANGE, NJ
07052-4703

Practice Phone: 973-325-2103
Practice Fax: 973-325-2254

1821063785 — MICHAEL ANTHONY GRASSO MD
Practice Location Address:

111 NORTHFIELD AVENUE , SUITE 311
WEST ORANGE, NJ
07052-4703

Practice Phone: 973-325-2103
Practice Fax: 973-325-2254

1275500969 — SADANAND SUDHAKAR PALEKAR MD
Practice Location Address:

111 NORTHFIELD AVENUE , SUITE 311
WEST ORANGE, NJ
07052-4703

Practice Phone: 973-325-2103
Practice Fax: 973-325-2254

Directions to “THE NEPHROLOGY GROUP PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.