Kidney Life, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Eatontown, New Jersey
1578593927- Practice location
- 6 Industrial Way W, Ste B, Eatontown, NJ 07724-2258
- Phone
- 732-460-1414
- Fax
- 732-460-0080
- Last updated
- March 11, 2025
Kidney Life, LLC is a healthcare organization based in Eatontown, NJ. Kidney Life, LLC practices in Eatontown, NJ. The NPI Number for Kidney Life, LLC is 1578593927. The current practice location address for Kidney Life, LLC is 6 Industrial Way W, Ste B, Eatontown, NJ 07724-2258 and can be reached out via phone at 732-460-1414 and via fax at 732-460-0080.
Provider Profile Details
- NPI Number
- 1578593927
- Provider Name
- Kidney Life, LLC
- Provider Entity Type
- Organization
- Address
- 6 Industrial Way W, Ste B, Eatontown, NJ 07724-2258
- Phone Number
- 732-460-1414
- Fax Number
- 732-460-0080
- Primary Taxonomy
- Clinic/Center, End-Stage Renal Disease (ESRD) Treatment · 261QE0700X
- Organization Subpart
- No
- Authorized Official
- Samuel Wey · Vp, Licensure & Certification · 615-341-6641
- Other Names
- Atlantic Artificial Kidney Center (Doing Business As)
- Provider Enumeration Date
- July 3, 2006
- Last Update Date
- March 11, 2025
- Certification Date
- March 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Industrial Way W
Ste B
Eatontown, NJ 07724-2258 - City
- Eatontown
- State
- New Jersey
- Zip
- 07724-2258
- Phone Number
- 732-460-1414
- Fax Number
- 732-460-0080
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
- 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 1578593927. 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).
Where does Kidney Life, LLC practice?
The practice location is 6 Industrial Way W, Ste B, Eatontown, NJ 07724-2258. The office can be reached at 732-460-1414 (phone) or 732-460-0080 (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 1578593927 directly on the NPPES registry website.