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

Providence Kidney & Hypertension Specialists LLC

Organization Nephrology Physician · NPI 1821695826

Providence Kidney & Hypertension Specialists LLC is a Nephrology Physician in Newark, Ohio. Registered with an NPI since 2020.

In the registry since
2020
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

1406 Dickerson St
Newark, OH 43055-1844
Phone: (917) 926-2914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1821695826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Boateng — Md · (917) 826-2914
NPI enumeratedOctober 3, 2020
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020
Mailing address1406 Dickerson St, Newark, OH 43055-1844

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