KIDNEY LIFE LLC NPI 1780943514

NPI Information

NPI: 1780943514
Provider Name: KIDNEY LIFE, LLC

Doing Business As: PARKSIDE DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
580 FRELINGHUYSEN AVE
NEWARK, NJ
ZIP 07114
Phone: (973) 733-9450
Get Directions

KIDNEY LIFE, LLC is an end-stage renal disease (esrd) treatment clinic center in Newark, NJ. KIDNEY LIFE, LLC NPI is 1780943514. The provider is registered as an organization entity type.
The provider Is Doing Business As Parkside Dialysis.

The provider's business location address is:

580 FRELINGHUYSEN AVE
NEWARK, NJ
ZIP 07114-361
Phone: (973) 733-9450
Fax: (973) 733-9455

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 enumeration date for this NPI number is 5/14/2012 and was last updated on 12/12/2023.

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

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

NPI Synchronization or Removal

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