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NNA OF HARRISON L.L.C. NPI 1033213814


NPI Information

NPI: 1033213814
Provider Name: NNA OF HARRISON, L.L.C.

Doing Business As: RENEX DIALYSIS CLINIC OF HARRISON

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D0996689

Address:
620 ESSEX ST
HARRISON, NJ
ZIP 07029
Phone: (973) 482-7772
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NNA OF HARRISON, L.L.C. is an end-stage renal disease (esrd) treatment clinic center in Harrison, NJ. NNA OF HARRISON, L.L.C. NPI is 1033213814. The provider is registered as an organization entity type.
The provider Is Doing Business As Renex Dialysis Clinic Of Harrison.

The provider's business location address is:

620 ESSEX ST
HARRISON, NJ
ZIP 07029-134
Phone: (973) 482-7772
Fax: (973) 482-0102

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 31D0996689 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 10/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) TreatmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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