ST. JOSEPH'S DIALYSIS LLC NPI 1407183940

NPI Information

NPI: 1407183940
Provider Name: ST. JOSEPH'S DIALYSIS , LLC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
CLIA Number: 31D0111058
Address: 57 WILLOWBROOK BLVD
2ND FLOOR
WAYNE, NJ
ZIP 07470
Phone: (973) 754-4092

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NPI Details

ST. JOSEPH'S DIALYSIS , LLC is an end-stage renal disease (esrd) treatment clinic center in Wayne, NJ. ST. JOSEPH'S DIALYSIS , LLC NPI is 1407183940. The provider is registered as an organization entity type.

The provider's business location address is:

57 WILLOWBROOK BLVD
2ND FLOOR
WAYNE, NJ
ZIP 07470-045
Phone: (973) 754-4092
Fax: (973) 754-4049

The provider's authorized official is Edward Jimenez .
The authorized official title is President and has the following contact phone number (973) 754-2925.

The CLIA number assigned to this NPI record is 31D0111058 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/4/2009 and was last updated on 11/4/2009.

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

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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