Shining Star Dialysis INC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Brick, New Jersey
1598799439- Practice location
- 525 Jack Martin Blvd, Ste 200, Brick, NJ 08724-7737
- Phone
- 732-836-9669
- Fax
- 732-836-9709
- Last updated
- January 12, 2021
Shining Star Dialysis INC is a healthcare organization based in Brick, NJ. Shining Star Dialysis INC practices in Brick, NJ. The NPI Number for Shining Star Dialysis INC is 1598799439 and holds a License No. 22882 (NJ). The current practice location address for Shining Star Dialysis INC is 525 Jack Martin Blvd, Ste 200, Brick, NJ 08724-7737 and can be reached out via phone at 732-836-9669 and via fax at 732-836-9709.
Provider Profile Details
- NPI Number
- 1598799439
- Provider Name
- Shining Star Dialysis INC
- Provider Entity Type
- Organization
- Address
- 525 Jack Martin Blvd, Ste 200, Brick, NJ 08724-7737
- Phone Number
- 732-836-9669
- Fax Number
- 732-836-9709
- 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
- Bricktown Dialysis Center (Doing Business As)
- Provider Enumeration Date
- July 10, 2006
- Last Update Date
- January 12, 2021
- Certification Date
- January 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 525 Jack Martin Blvd
Ste 200
Brick, NJ 08724-7737 - City
- Brick
- State
- New Jersey
- Zip
- 08724-7737
- Phone Number
- 732-836-9669
- Fax Number
- 732-836-9709
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
- License Number
- 22882
- 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. | |||
Other Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers near Brick, NJ
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- Renal Center Of Brick, LLCClinic/Center, End-Stage Renal Disease (ESRD) Treatment · NPI 1801842182
Frequently Asked Questions
What is the NPI number of Shining Star Dialysis INC?
The NPI number of Shining Star Dialysis INC is 1598799439. It was assigned on July 10, 2006 and is currently active in the NPPES registry.
What is the specialty of Shining Star Dialysis INC?
Shining Star Dialysis INC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X), licensed in NJ under license number 22882.
Where does Shining Star Dialysis INC practice?
The practice location is 525 Jack Martin Blvd, Ste 200, Brick, NJ 08724-7737. The office can be reached at 732-836-9669 (phone) or 732-836-9709 (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 1598799439 directly on the NPPES registry website.