Kidney Life, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Old Bridge, New Jersey
1164451852- Practice location
- 262 Texas RD, Ste 101, Old Bridge, NJ 08857-4008
- Phone
- 732-591-4931
- Fax
- 732-561-3448
- Last updated
- March 12, 2025
Kidney Life, LLC is a healthcare organization based in Old Bridge, NJ. Kidney Life, LLC practices in Old Bridge, NJ. The NPI Number for Kidney Life, LLC is 1164451852 and holds a License No. 22401 (NJ). The current practice location address for Kidney Life, LLC is 262 Texas RD, Ste 101, Old Bridge, NJ 08857-4008 and can be reached out via phone at 732-591-4931 and via fax at 732-561-3448.
Provider Profile Details
- NPI Number
- 1164451852
- Provider Name
- Kidney Life, LLC
- Provider Entity Type
- Organization
- Address
- 262 Texas RD, Ste 101, Old Bridge, NJ 08857-4008
- Phone Number
- 732-591-4931
- Fax Number
- 732-561-3448
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel T Wey · Vp, Licensure & Certification · 615-341-6641
- Other Names
- Old Bridge Dialysis (Doing Business As)
- Provider Enumeration Date
- July 3, 2006
- Last Update Date
- March 12, 2025
- Certification Date
- March 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 262 Texas RD
Ste 101
Old Bridge, NJ 08857-4008 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-4008
- Phone Number
- 732-591-4931
- Fax Number
- 732-561-3448
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
- 22401
- License State
- NJ
- 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 1164451852. It was assigned on July 3, 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 22401.
Where does Kidney Life, LLC practice?
The practice location is 262 Texas RD, Ste 101, Old Bridge, NJ 08857-4008. The office can be reached at 732-591-4931 (phone) or 732-561-3448 (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 1164451852 directly on the NPPES registry website.