Kidney Life, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Newark, New Jersey
1063665586- Practice location
- 571 Central Ave, Newark, NJ 07107-1463
- Phone
- 973-484-4994
- Fax
- 973-484-4434
- Last updated
- December 29, 2020
Kidney Life, LLC is a healthcare organization based in Newark, NJ. Kidney Life, LLC practices in Newark, NJ. The NPI Number for Kidney Life, LLC is 1063665586. The current practice location address for Kidney Life, LLC is 571 Central Ave, Newark, NJ 07107-1463 and can be reached out via phone at 973-484-4994 and via fax at 973-484-4434.
Provider Profile Details
- NPI Number
- 1063665586
- Provider Name
- Kidney Life, LLC
- Provider Entity Type
- Organization
- Address
- 571 Central Ave, Newark, NJ 07107-1463
- Phone Number
- 973-484-4994
- Fax Number
- 973-484-4434
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- John D Winstel · Chief Accounting Officer · 253-733-4501
- Other Names
- Renal Center Of Newark (Doing Business As)
- Provider Enumeration Date
- October 28, 2008
- Last Update Date
- December 29, 2020
- Certification Date
- December 29, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 571 Central Ave
Newark, NJ 07107-1463 - City
- Newark
- State
- New Jersey
- Zip
- 07107-1463
- Phone Number
- 973-484-4994
- Fax Number
- 973-484-4434
Provider Business Mailing Address Details
- Address
- 5200 Virginia Way
L&c Dept
Brentwood, TN 37027-7569 - City
- Brentwood
- State
- TN
- Zip
- 37027-7569
- Phone Number
- 615-341-6410
- Fax Number
- 888-662-8259
License Information
- Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 1063665586. It was assigned on October 28, 2008 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).
Where does Kidney Life, LLC practice?
The practice location is 571 Central Ave, Newark, NJ 07107-1463. The office can be reached at 973-484-4994 (phone) or 973-484-4434 (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 1063665586 directly on the NPPES registry website.