Provider Demographics
NPI:1528091568
Name:NEPHROLOGY ASSOCIATES OF CENTRAL PENNSYLVANIA INC
Entity type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF CENTRAL PENNSYLVANIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ZINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-972-2800
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17001-0002
Mailing Address - Country:US
Mailing Address - Phone:717-972-2821
Mailing Address - Fax:717-972-2845
Practice Address - Street 1:207 HOUSE AVE STE 110
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011
Practice Address - Country:US
Practice Address - Phone:717-972-2821
Practice Address - Fax:717-972-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007698830008Medicaid
PA1528091568OtherNPI
PA1700857554OtherNPI
PA1026272500001Medicaid
PA1015301580001Medicaid
PA1679736813OtherNPI
PA1023311210001Medicaid
PA1028609900001Medicaid
PA1326359977OtherNPI
PA1447580873OtherNPI
PA1030561380001Medicaid
PA1871794339OtherNPI
PA0058854PZ7Medicare PIN
PA118294PZ7Medicare PIN
PA0011258140008Medicaid
PA0018999880004Medicaid
PA113141PZ7Medicare PIN