Newark Renal Centers, Llc in Newark - End-stage Renal Disease (esrd) Treatment

Newark Renal Centers, Llc - NPI 1104806785

Newark Renal Centers, Llc is a End-stage Renal Disease (esrd) Treatment in Newark, New Jersey. Newark Renal Centers, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Newark Renal Centers, Llc is 1104806785. The last update date is 2020-08-22.

Newark Renal Centers, Llc's current location address is 580 Frelinghuysen Ave, Newark, New Jersey. You can contact this provider via phone number 9736242226 and fax number 9736245547. The mailing address for Newark Renal Centers, Llc is 580 Frelinghuysen Ave, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Newark Renal Centers, Llc
Address 580 Frelinghuysen Ave, Newark, New Jersey
Phone Number 9736242226
Fax Number 9736245547
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR/V
Authorized Official Name Burrier L Vicki
Credentials RN, MBA
Telephone Number 9544747701

NPI Number Detail

NPI Number 1104806785
Provider Enumeration Date 2006-01-19
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 580 Frelinghuysen Ave
City Newark
State New Jersey (NJ)
Post Code 71141324
Phone Number 9736242226
Fax Number 9736245547

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
Licence No 40704
Definition:
Provides dialysis and other medical care to patients with permanent kidney failure.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4143809 NJ --

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FAQs about Newark Renal Centers, Llc

What is the unique identifier code issued to Newark Renal Centers, Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Newark Renal Centers, Llc has been assigned the NPI (National Provider Identifier) 1104806785. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Newark Renal Centers, Llc is geographically located?

The Newark Renal Centers, Llc is physically situated at the following location: 580 Frelinghuysen Ave, Newark, NJ, 71141324.

What is Newark Renal Centers, Llc's area of expertise and its corresponding taxonomy classification?

The Newark Renal Centers, Llc's field of specialization is End-stage Renal Disease (esrd) Treatment, and it falls under the taxonomy code 261Qe0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104806785 to Newark Renal Centers, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1104806785 to Newark Renal Centers, Llc on 2006-01-19.

As of what date were the Newark Renal Centers, Llc's details last updated?

The information pertaining to the Newark Renal Centers, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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