BROOKSTONE DIALYSIS LLC NPI 1427762897

NPI Information

  • NPI: 1427762897
  • Provider Name: BROOKSTONE DIALYSIS LLC
  • Classification: Clinic/Center - 261QE0700X
  • Specialization: End-Stage Renal Disease (ESRD) Treatment
  • Entity Type: Organization
  • Doing Business As: LIBERTY PARK DIALYSIS
  • CLIA Number: 31D2275089
  • Address: 15 CARBON PL
    JERSEY CITY, NJ
    ZIP 07305
  • Phone: (551) 285-1016

Map and Directions

Get Directions

NPI Details

BROOKSTONE DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Jersey City, NJ. BROOKSTONE DIALYSIS LLC NPI is 1427762897. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Park Dialysis.

The provider's business location address is:

15 CARBON PL
JERSEY CITY, NJ
ZIP 07305-295
Phone: (551) 285-1016
Fax: (551) 285-1343

The provider's authorized official is Samuel Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 320-4414.

The CLIA number assigned to this NPI record is 31D2275089 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2023 and was last updated on 1/3/2024.

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) TreatmentYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI