HAMILTON PARK DIALYSIS OPCO LLC NPI 1326411554

NPI Information

NPI: 1326411554
Provider Name: HAMILTON PARK DIALYSIS OPCO, LLC

Doing Business As: ALARIS HEALTH DIALYSIS AT HAMILTON PARK

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
328 9TH ST
JERSEY CITY, NJ
ZIP 07302
Phone: (201) 516-7700
Get Directions

HAMILTON PARK DIALYSIS OPCO, LLC is an end-stage renal disease (esrd) treatment clinic center in Jersey City, NJ. HAMILTON PARK DIALYSIS OPCO, LLC NPI is 1326411554. The provider is registered as an organization entity type.
The provider Is Doing Business As Alaris Health Dialysis At Hamilton Park.

The provider's business location address is:

328 9TH ST
JERSEY CITY, NJ
ZIP 07302-502
Phone: (201) 516-7700

The provider's authorized official is Sam Stern .
The authorized official title is Cfo and has the following contact phone number (718) 567-0400.

The CLIA number assigned to this NPI record is 31D2215046 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 11/10/2015.

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	23196	NEW JERSEY	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
1	0055492	MEDICAID	NEW JERSEY
2	312580	MEDICARE PIN	NEW JERSEY
3	312580	MEDICARE OSCAR/CERTIFICATION	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: 4/28/2024

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