Active NPIOrganization

Dialysis Center Of Mountainside LLC

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

NPI Number1629564653
Practice location
20 Sussex Avenue, East Orange, NJ 07018-4228
Fax
973-266-1094
Last updated
May 19, 2026

Dialysis Center Of Mountainside LLC is a healthcare organization based in East Orange, NJ. Dialysis Center Of Mountainside LLC practices in East Orange, NJ. The NPI Number for Dialysis Center Of Mountainside LLC is 1629564653. The current practice location address for Dialysis Center Of Mountainside LLC is 20 Sussex Avenue, East Orange, NJ 07018-4228 and can be reached out via phone at 973-266-1093 and via fax at 973-266-1094.

Provider Profile Details

NPI Number
1629564653
Provider Name
Dialysis Center Of Mountainside LLC
Provider Entity Type
Organization
Address
20 Sussex Avenue, East Orange, NJ 07018-4228
Phone Number
973-266-1093
Fax Number
973-266-1094
Organization Subpart
No
Authorized Official
Sara Anne Brady · Chief Nursing Officer · 208-371-7878
Other Names
Dialysis Center Of East Orange (Doing Business As)
Provider Enumeration Date
July 2, 2018
Last Update Date
May 19, 2026
Certification Date
May 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Sussex Avenue
East Orange, NJ 07018-4228
Zip
07018-4228
Phone Number
973-266-1093
Fax Number
973-266-1094
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
20 Sussex Avenue
East Orange, NJ 07018-4228
City
East Orange
State
NJ
Zip
07018-4228
Phone Number
973-266-1093
Fax Number
973-266-1094

License Information

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 Dialysis Center Of Mountainside LLC?

The NPI number of Dialysis Center Of Mountainside LLC is 1629564653. It was assigned on July 2, 2018 and is currently active in the NPPES registry.

What is the specialty of Dialysis Center Of Mountainside LLC?

Dialysis Center Of Mountainside LLC is registered under the primary taxonomy Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (code 261QE0700X).

Where does Dialysis Center Of Mountainside LLC practice?

The practice location is 20 Sussex Avenue, East Orange, NJ 07018-4228. The office can be reached at 973-266-1093 (phone) or 973-266-1094 (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 1629564653 directly on the NPPES registry website.

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