Northeast Kidney Care LLC
NPI 1023889565 · Internal Medicine Physician · Brick, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Kidney Care LLC is a Internal Medicine Physician organization in Brick, NJ (NPI 1023889565).
Provider details
- NPI number
- 1023889565
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ankit Shah, Authorized Official(732) 458-5854
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nephrology Physician207RN0300X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-01-12
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Frequently asked questions
- What is Northeast Kidney Care LLC's NPI number?
- Northeast Kidney Care LLC's National Provider Identifier (NPI) is 1023889565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Kidney Care LLC?
- Northeast Kidney Care LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Kidney Care LLC located?
- Northeast Kidney Care LLC's practice location on file with NPPES is 210 Jack Martin Blvd Ste D1, Brick, NJ 08724-7771.
- What is Northeast Kidney Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Northeast Kidney Care LLC is (732) 458-5854.
- Does Northeast Kidney Care LLC accept Medicare?
- Northeast Kidney Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Kidney Care LLC?
- The authorized official listed on Northeast Kidney Care LLC's NPPES record is Ankit Shah, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Kidney Care LLC's NPI active?
- Yes — Northeast Kidney Care LLC's NPI (1023889565) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.