Pershing Dialysis LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Jersey City, New Jersey
1619361136- Practice location
- 422 Grand St, Jersey City, NJ 07302-4240
- Phone
- 201-332-6413
- Fax
- 201-536-8093
- Last updated
- March 6, 2026
Pershing Dialysis LLC is a healthcare organization based in Jersey City, NJ. Pershing Dialysis LLC practices in Jersey City, NJ. The NPI Number for Pershing Dialysis LLC is 1619361136. The current practice location address for Pershing Dialysis LLC is 422 Grand St, Jersey City, NJ 07302-4240 and can be reached out via phone at 201-332-6413 and via fax at 201-536-8093.
Provider Profile Details
- NPI Number
- 1619361136
- Provider Name
- Pershing Dialysis LLC
- Provider Entity Type
- Organization
- Address
- 422 Grand St, Jersey City, NJ 07302-4240
- Phone Number
- 201-332-6413
- Fax Number
- 201-536-8093
- 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
- Jersey City Grand Home Dialysis (Doing Business As)
- Provider Enumeration Date
- March 23, 2015
- Last Update Date
- March 6, 2026
- Certification Date
- March 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 422 Grand St
Jersey City, NJ 07302-4240 - City
- Jersey City
- State
- New Jersey
- Zip
- 07302-4240
- Phone Number
- 201-332-6413
- Fax Number
- 201-536-8093
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 Pershing Dialysis LLC?
The NPI number of Pershing Dialysis LLC is 1619361136. It was assigned on March 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Pershing Dialysis LLC?
Pershing Dialysis LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).
Where does Pershing Dialysis LLC practice?
The practice location is 422 Grand St, Jersey City, NJ 07302-4240. The office can be reached at 201-332-6413 (phone) or 201-536-8093 (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 1619361136 directly on the NPPES registry website.