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

Suburban Nephrology Group PA

Organization Specialist · NPI 1972614022

Suburban Nephrology Group PA is a Specialist in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2025
Phone: (973) 389-1119
Fax: (973) 389-1145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NJ)

Record details

NPI number1972614022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Rae — Physician · (973) 389-1119
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019
Mailing address510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2025

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