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 provides Specialist services 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2025
Phone: (973) 389-1119
Fax: (973) 389-1145
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Wayne