KIDNEY LIFE LLC NPI 1063665586

NPI Information

NPI: 1063665586
Provider Name: KIDNEY LIFE, LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: RENAL CENTER OF NEWARK
Address: 571 CENTRAL AVE
NEWARK, NJ
ZIP 07107
Phone: (973) 484-4994

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NPI Details

KIDNEY LIFE, LLC is an end-stage renal disease (esrd) treatment clinic center in Newark, NJ. KIDNEY LIFE, LLC NPI is 1063665586. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Center Of Newark.

The provider's business location address is:

571 CENTRAL AVE
NEWARK, NJ
ZIP 07107-463
Phone: (973) 484-4994
Fax: (973) 484-4434

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 enumeration date for this NPI number is 10/28/2008 and was last updated on 12/29/2020.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

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
1	0283100	MEDICAID	NEW 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: 11/21/2025

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