Active NPIOrganization

Kidney Life, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Neptune, New Jersey

NPI Number1063446912
Practice location
2180 Bradley Ave, Neptune, NJ 07753-4427
Fax
732-775-0500
Last updated
June 17, 2025

Kidney Life, LLC is a healthcare organization based in Neptune, NJ. Kidney Life, LLC practices in Neptune, NJ. The NPI Number for Kidney Life, LLC is 1063446912 and holds a License No. 22845 (NJ). The current practice location address for Kidney Life, LLC is 2180 Bradley Ave, Neptune, NJ 07753-4427 and can be reached out via phone at 732-775-2725 and via fax at 732-775-0500.

Provider Profile Details

NPI Number
1063446912
Provider Name
Kidney Life, LLC
Provider Entity Type
Organization
Address
2180 Bradley Ave, Neptune, NJ 07753-4427
Phone Number
732-775-2725
Fax Number
732-775-0500
Organization Subpart
No
Authorized Official
Samuel Wey · Vp, Licensure & Certification · 615-341-6641
Other Names
Neptune Dialysis Center (Doing Business As)
Provider Enumeration Date
July 10, 2006
Last Update Date
June 17, 2025
Certification Date
June 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2180 Bradley Ave
Neptune, NJ 07753-4427
Zip
07753-4427
Phone Number
732-775-2725
Fax Number
732-775-0500
Neptune, NJ 07753Get directions →

Provider Business Mailing Address Details

Address
5200 Virginia Way
L&c Dept
Brentwood, TN 37027-7569
City
Brentwood
State
TN
Zip
37027-7569

License Information

License Number
22845
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kidney Life, LLC?

The NPI number of Kidney Life, LLC is 1063446912. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Kidney Life, LLC?

Kidney Life, LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X), licensed in NJ under license number 22845.

Where does Kidney Life, LLC practice?

The practice location is 2180 Bradley Ave, Neptune, NJ 07753-4427. The office can be reached at 732-775-2725 (phone) or 732-775-0500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063446912 directly on the NPPES registry website.

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