Bergen Renal Care Center, Llc in Teaneck - End-stage Renal Disease (esrd) Treatment

Bergen Renal Care Center, Llc - NPI 1639290737

Bergen Renal Care Center, Llc is a End-stage Renal Disease (esrd) Treatment in Teaneck, New Jersey. Bergen Renal Care Center, Llc practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for Bergen Renal Care Center, Llc is 1639290737. The last update date is 2023-10-17.

Bergen Renal Care Center, Llc's current location address is 647 Cedar Ln, Teaneck, New Jersey. You can contact this provider via phone number 2016921113 and fax number 2016921183. The mailing address for Bergen Renal Care Center, Llc is 647 Cedar Ln, Teaneck, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bergen Renal Care Center, Llc
Address 647 Cedar Ln, Teaneck, New Jersey
Phone Number 2016921113
Fax Number 2016921183
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Blanton L. Barry
Telephone Number 7816999000

NPI Number Detail

NPI Number 1639290737
Provider Enumeration Date 2007-04-03
Last Updated Date 2023-10-17

Provider Mailing Address Detail

Address 647 Cedar Ln
City Teaneck
State New Jersey (NJ)
Post Code 76661701
Phone Number 2016921113
Fax Number 2016921183

Provider's Primary Taxonomy Detail

Speciality End-stage Renal Disease (esrd) Treatment
Taxonomy 261Qe0700X
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
48933 NJ --

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FAQs about Bergen Renal Care Center, Llc

What is the unique 10-digit identification code issued to Bergen Renal Care Center, Llc by the Centers for Medicare & Medicaid Services?

The Bergen Renal Care Center, Llc has been assigned the NPI (National Provider Identifier) 1639290737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Bergen Renal Care Center, Llc's facilities are situated?

The facilities of Bergen Renal Care Center, Llc are physically located at the following address: 647 Cedar Ln, Teaneck, NJ, 76661701.

What is the Bergen Renal Care Center, Llc's specialty and taxonomy code?

The Bergen Renal Care Center, Llc's specialty is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code is 261Qe0700X.

On what date did the Bergen Renal Care Center, Llc receive its 1639290737 assignment from the Centers for Medicare & Medicaid Services?

The Bergen Renal Care Center, Llc was assigned its 1639290737 by the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date were the Bergen Renal Care Center, Llc's details last updated?

The information pertaining to the Bergen Renal Care Center, Llc, including its address, specialty, and other details, was most recently updated on 2023-10-17.

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