SHINING STAR DIALYSIS INC NPI 1598799439

NPI Information

NPI: 1598799439
Provider Name: SHINING STAR DIALYSIS INC
Classification: Clinic/Center - 261QE0700X
Specialization: End-Stage Renal Disease (ESRD) Treatment
Entity Type: Organization
Doing Business As: BRICKTOWN DIALYSIS CENTER
Address: 525 JACK MARTIN BLVD
STE 200
BRICK, NJ
ZIP 08724
Phone: (732) 836-9669

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NPI Details

SHINING STAR DIALYSIS INC is an end-stage renal disease (esrd) treatment clinic center in Brick, NJ. SHINING STAR DIALYSIS INC NPI is 1598799439. The provider is registered as an organization entity type.
The provider Is Doing Business As Bricktown Dialysis Center.

The provider's business location address is:

525 JACK MARTIN BLVD
STE 200
BRICK, NJ
ZIP 08724-737
Phone: (732) 836-9669
Fax: (732) 836-9709

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 7/10/2006 and was last updated on 1/12/2021.

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	22882	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	Other Provider Identifier Issuer
1	0017183	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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