Hamilton Park Renal Dialysis Center

LBN: Hamilton Park Renal Dialysis Center, Inc.
Hamilton Park Renal Dialysis Center is an health care organization with primary practice located at 328 9Th St , Jersey City NJ 07302-1502. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Hamilton Park Renal Dialysis Center, Inc. can be contacted via phone (201) 516-8564, or through Polevoy, Alan via phone (201) 516-8564.

Contact Information

Primary practice address
328 9Th St Jersey City NJ 07302-1502
Phone: (201) 516-8564
Fax: (201) 516-8586
Website:
Map and Directions
Authorized official contact:
Name: Polevoy, Alan
Phone: (201) 516-8564

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 23196 New Jersey

Profile Details

NPI number 1255338455
LBN Legal business name Hamilton Park Renal Dialysis Center, Inc.
DBA Doing business as Hamilton Park Renal Dialysis Center
Authorized official Polevoy, Alan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated May 4th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255338455 NPPES
New Jersey MEDICAID 0055492

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