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NORTHERN NEW JERSEY DIALYSIS LLC NPI 1033131925


NPI Information

NPI: 1033131925
Provider Name: NORTHERN NEW JERSEY DIALYSIS, LLC

Doing Business As: FRESENIUS MEDICAL CARE KENVIL

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D0968288

Address:
677 US HIGHWAY 46 STE C
KENVIL, NJ
ZIP 07847
Phone: (973) 252-1301
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NORTHERN NEW JERSEY DIALYSIS, LLC is an end-stage renal disease (esrd) treatment clinic center in Kenvil, NJ. NORTHERN NEW JERSEY DIALYSIS, LLC NPI is 1033131925. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresenius Medical Care Kenvil.

The provider's business location address is:

677 US HIGHWAY 46 STE C
KENVIL, NJ
ZIP 07847-699
Phone: (973) 252-1301
Fax: (973) 252-1305

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 31D0968288 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 10/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment22895NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18303304MEDICAIDNEW JERSEY

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: 4/28/2024

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