Kidney Life, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Woodbridge, New Jersey
1093054629- Practice location
- 541 Main St, Woodbridge, NJ 07095-1104
- Phone
- 732-750-0639
- Fax
- 732-750-0612
- Last updated
- March 12, 2025
Kidney Life, LLC is a healthcare organization based in Woodbridge, NJ. Kidney Life, LLC practices in Woodbridge, NJ. The NPI Number for Kidney Life, LLC is 1093054629. The current practice location address for Kidney Life, LLC is 541 Main St, Woodbridge, NJ 07095-1104 and can be reached out via phone at 732-750-0639 and via fax at 732-750-0612.
Provider Profile Details
- NPI Number
- 1093054629
- Provider Name
- Kidney Life, LLC
- Provider Entity Type
- Organization
- Address
- 541 Main St, Woodbridge, NJ 07095-1104
- Phone Number
- 732-750-0639
- Fax Number
- 732-750-0612
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel Wey · Vp, Licensure & Certification · 615-320-4414
- Other Names
- Woodbridge Dialysis (Doing Business As)
- Provider Enumeration Date
- February 1, 2013
- Last Update Date
- March 12, 2025
- Certification Date
- March 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 541 Main St
Woodbridge, NJ 07095-1104 - City
- Woodbridge
- State
- New Jersey
- Zip
- 07095-1104
- Phone Number
- 732-750-0639
- Fax Number
- 732-750-0612
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 1093054629. It was assigned on February 1, 2013 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 541 Main St, Woodbridge, NJ 07095-1104. The office can be reached at 732-750-0639 (phone) or 732-750-0612 (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 1093054629 directly on the NPPES registry website.