Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Kidney Care LLC

Organization Internal Medicine Physician · NPI 1023889565

Northeast Kidney Care LLC is an Internal Medicine Physician in Brick, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

210 Jack Martin Blvd Ste D1
Brick, NJ 08724-7771
Phone: (732) 458-5854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Nephrology Physician Taxonomy 207RN0300X

Record details

NPI number1023889565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ankit Shah — Authorized Official · (732) 458-5854
NPI enumeratedJanuary 12, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address210 Jack Martin Blvd Ste D1, Brick, NJ 08724-7771

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