RENAL CARE GROUP MAPLEWOOD LLC NPI 1902848708

NPI Information

NPI: 1902848708
Provider Name: RENAL CARE GROUP MAPLEWOOD, LLC

Doing Business As: RENAL CARE GROUP - MAPLEWOOD

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
2130 MILLBURN AVE
MAPLEWOOD, NJ
ZIP 07040
Phone: (973) 275-5499
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RENAL CARE GROUP MAPLEWOOD, LLC is an end-stage renal disease (esrd) treatment clinic center in Maplewood, NJ. RENAL CARE GROUP MAPLEWOOD, LLC NPI is 1902848708. The provider is registered as an organization entity type.
The provider Is Doing Business As Renal Care Group - Maplewood.

The provider's business location address is:

2130 MILLBURN AVE
MAPLEWOOD, NJ
ZIP 07040-725
Phone: (973) 275-5499
Fax: (973) 275-5103

The provider's authorized official is Barry L. Blanton .
The authorized official title is Vice President and has the following contact phone number (781) 699-9000.

The CLIA number assigned to this NPI record is 31D1060061 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 10/16/2023.

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: 5/5/2024

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