Bricktown Dialysis Center

LBN: Shining Star Dialysis Inc
Bricktown Dialysis Center is an health care organization with primary practice located at 525 Jack Martin Blvd Ste 200, Brick NJ 08724-7737. 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. Shining Star Dialysis Inc can be contacted via phone (732) 836-9669, or through Winstel, John D via phone (253) 733-4501.

Contact Information

Primary practice address
525 Jack Martin Blvd Ste 200 Brick NJ 08724-7737
Phone: (732) 836-9669
Fax: (732) 836-9709
Website:
Map and Directions
Authorized official contact:
Name: Winstel, John D
Phone: (253) 733-4501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 22882 New Jersey

Profile Details

NPI number 1598799439
LBN Legal business name Shining Star Dialysis Inc
DBA Doing business as Bricktown Dialysis Center
Authorized official Winstel, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Jan 12th, 2021 - about 3 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 1598799439 NPPES
New Jersey MEDICAID 0017183

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