KIDNEY LIFE LLC NPI 1912936618

NPI Information

NPI: 1912936618
Provider Name: KIDNEY LIFE, LLC

Doing Business As: PLAINFIELD DIALYSIS

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
1200 RANDOLPH RD
PLAINFIELD, NJ
ZIP 07060
Phone: (908) 757-6030
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KIDNEY LIFE, LLC is an end-stage renal disease (esrd) treatment clinic center in Plainfield, NJ. KIDNEY LIFE, LLC NPI is 1912936618. The provider is registered as an organization entity type.
The provider Is Doing Business As Plainfield Dialysis.

The provider's business location address is:

1200 RANDOLPH RD
PLAINFIELD, NJ
ZIP 07060-361
Phone: (908) 757-6030
Fax: (908) 757-6282

The provider's authorized official is Samuel T Wey .
The authorized official title is Vp, Licensure & Certification and has the following contact phone number (615) 341-6691.

The CLIA number assigned to this NPI record is 31D0982782 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 2/5/2024.

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	23079	NEW JERSEY	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

NPI Synchronization or Removal

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