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PINSON DIALYSIS LLC NPI 1033770458


NPI Information

NPI: 1033770458
Provider Name: PINSON DIALYSIS LLC

Doing Business As: ELMORA DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D2173374

Address:
547 MORRIS AVE
ELIZABETH, NJ
ZIP 07208
Phone: (908) 436-9201
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PINSON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Elizabeth, NJ. PINSON DIALYSIS LLC NPI is 1033770458. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmora Dialysis.

The provider's business location address is:

547 MORRIS AVE
ELIZABETH, NJ
ZIP 07208-985
Phone: (908) 436-9201
Fax: (908) 436-9206

The provider's authorized official is John D Winstel .
The authorized official title is Chief Accounting Officer and has the following contact phone number (253) 733-4501.

The CLIA number assigned to this NPI record is 31D2173374 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2019 and was last updated on 7/26/2021.


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) TreatmentYes

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
10751740MEDICAIDNEW 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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