Active NPIOrganization

Kidney Life, LLC

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

NPI Number1548299373
Practice location
14-20 Prospect St, East Orange, NJ 07017-2238
Fax
973-675-1381
Last updated
March 11, 2025

Kidney Life, LLC is a healthcare organization based in East Orange, NJ. Kidney Life, LLC practices in East Orange, NJ. The NPI Number for Kidney Life, LLC is 1548299373 and holds a License No. 22214 (NJ). The current practice location address for Kidney Life, LLC is 14-20 Prospect St, East Orange, NJ 07017-2238 and can be reached out via phone at 973-672-2025 and via fax at 973-675-1381.

Provider Profile Details

NPI Number
1548299373
Provider Name
Kidney Life, LLC
Provider Entity Type
Organization
Address
14-20 Prospect St, East Orange, NJ 07017-2238
Phone Number
973-672-2025
Fax Number
973-675-1381
Organization Subpart
No
Authorized Official
Samuel Wey · Vp, Licensure & Certification · 615-341-6641
Other Names
East Orange Dialysis (Doing Business As)
Provider Enumeration Date
July 2, 2006
Last Update Date
March 11, 2025
Certification Date
March 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
14-20 Prospect St
East Orange, NJ 07017-2238
Zip
07017-2238
Phone Number
973-672-2025
Fax Number
973-675-1381
East Orange, NJ 07017Get 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
22214
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 1548299373. It was assigned on July 2, 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 22214.

Where does Kidney Life, LLC practice?

The practice location is 14-20 Prospect St, East Orange, NJ 07017-2238. The office can be reached at 973-672-2025 (phone) or 973-675-1381 (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 1548299373 directly on the NPPES registry website.

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