Jersey City Dialysis

LBN: Kidney Life, Llc
Jersey City Dialysis is an health care organization with primary practice located at 1310 5Th St , North Bergen NJ 07047-1710. 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. Kidney Life, Llc can be contacted via phone (201) 770-9220, or through Winstel, John via phone (253) 733-4501.

Contact Information

Primary practice address
1310 5Th St North Bergen NJ 07047-1710
Phone: (201) 770-9220
Fax: (201) 770-9225
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 22532 New Jersey

Profile Details

NPI number 1831458660
LBN Legal business name Kidney Life, Llc
DBA Doing business as Jersey City Dialysis
Authorized official Winstel, John
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2012
Last updated Feb 28th, 2023 - about last year

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 1831458660 NPPES
New Jersey MEDICAID 0322946

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