PHYSICIANS DIALYSIS ACQUISITIONS INC NPI 1053387738

NPI Information

  • NPI: 1053387738
  • Provider Name: PHYSICIANS DIALYSIS ACQUISITIONS INC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: PDI ROCKY HILL
  • CLIA Number: 07D0962839
  • Address: 30 WATERCHASE DR
    ROCKY HILL, CT
    ZIP 06067
  • Phone: (860) 563-6000

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NPI Details

PHYSICIANS DIALYSIS ACQUISITIONS INC is an end-stage renal disease (esrd) treatment clinic center in Rocky Hill, CT. PHYSICIANS DIALYSIS ACQUISITIONS INC NPI is 1053387738. The provider is registered as an organization entity type.
The provider Is Doing Business As Pdi Rocky Hill.

The provider's business location address is:

30 WATERCHASE DR
ROCKY HILL, CT
ZIP 06067-110
Phone: (860) 563-6000
Fax: (860) 257-3895

The provider's authorized official is Samuel T Wey .
The authorized official title is VP LICENSURE & CERTIFICATIONLicensure & Certification and has the following contact phone number (615) 341-6641.

The CLIA number assigned to this NPI record is 07D0962839 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 1/9/2025.

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) Treatment270CONNECTICUTYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004219178MEDICAIDCONNECTICUT

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: 3/30/2025

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