SIMEON DIALYSIS LLC NPI 1871862730

NPI Information

NPI: 1871862730
Provider Name: SIMEON DIALYSIS LLC

Doing Business As: ST JOSEPHS PATERSON DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
11 GETTY AVE
275 HOSPITAL PLAZA
PATERSON, NJ
ZIP 07503
Phone: (973) 684-3490
Get Directions

SIMEON DIALYSIS LLC is an end-stage renal disease (esrd) treatment clinic center in Paterson, NJ. SIMEON DIALYSIS LLC NPI is 1871862730. The provider is registered as an organization entity type.
The provider Is Doing Business As St Josephs Paterson Dialysis.

The provider's business location address is:

11 GETTY AVE
275 HOSPITAL PLAZA
PATERSON, NJ
ZIP 07503
Phone: (973) 684-3490
Fax: (973) 247-2740

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 12/22/2011 and was last updated on 7/8/2020.

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

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	0306681	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »