KIDNEY LIFE LLC NPI 1407243751

NPI Information

NPI: 1407243751
Provider Name: KIDNEY LIFE, LLC

Doing Business As: MONROE TOWNSHIP DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

CLIA Number: 31D2098425

Address:
298 APPLEGARTH RD
MONROE TOWNSHIP, NJ
ZIP 08831
Phone: (609) 409-4259
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KIDNEY LIFE, LLC is an end-stage renal disease (esrd) treatment clinic center in Monroe Township, NJ. KIDNEY LIFE, LLC NPI is 1407243751. The provider is registered as an organization entity type.
The provider Is Doing Business As Monroe Township Dialysis.

The provider's business location address is:

298 APPLEGARTH RD
MONROE TOWNSHIP, NJ
ZIP 08831-754
Phone: (609) 409-4259
Fax: (609) 395-7697

The provider's authorized official is John 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 31D2098425 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 2/28/2023.

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	0552631	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: 5/5/2024

NPI Synchronization or Removal

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