HOLY NAME HOME DIALYSIS CENTER INC. NPI 1972624070

NPI Information

NPI: 1972624070
Provider Name: HOLY NAME HOME DIALYSIS CENTER, INC.

Doing Business As: HOLY NAME DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
222 CEDAR LN
SUITE 103
TEANECK, NJ
ZIP 07666
Phone: (201) 692-1379
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HOLY NAME HOME DIALYSIS CENTER, INC. is an end-stage renal disease (esrd) treatment clinic center in Teaneck, NJ. HOLY NAME HOME DIALYSIS CENTER, INC. NPI is 1972624070. The provider is registered as an organization entity type.
The provider Is Doing Business As Holy Name Dialysis Center.

The provider's business location address is:

222 CEDAR LN
SUITE 103
TEANECK, NJ
ZIP 07666-314
Phone: (201) 692-1379
Fax: (201) 692-7776

The provider's authorized official is Robert Rigolosi .
The authorized official title is Owner and has the following contact phone number (201) 833-3223.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

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	6542409	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

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