Jersey City Grand Home Dialysis

LBN: Pershing Dialysis Llc
Jersey City Grand Home Dialysis is an health care organization with primary practice located at 422 Grand St , Jersey City NJ 07302-4240. 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. Pershing Dialysis Llc can be contacted via phone (201) 332-6413, or through Wey, Samuel T via phone (615) 341-6641.

Contact Information

Primary practice address
422 Grand St Jersey City NJ 07302-4240
Phone: (201) 332-6413
Fax: (201) 536-8093
Website:
Map and Directions
Authorized official contact:
Name: Wey, Samuel T
Phone: (615) 341-6641

Health care specialties

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

Profile Details

NPI number 1619361136
LBN Legal business name Pershing Dialysis Llc
DBA Doing business as Jersey City Grand Home Dialysis
Authorized official Wey, Samuel T
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2015
Last updated Oct 16th, 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 1619361136 NPPES
New Jersey MEDICAID 0535249

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