Kidney Life, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Hazlet, New Jersey
1700815487- Practice location
- 3053 State Route 35, Hazlet, NJ 07730-1526
- Phone
- 732-203-0321
- Fax
- 732-203-0279
- Last updated
- November 5, 2026
Kidney Life, LLC is a healthcare organization based in Hazlet, NJ. Kidney Life, LLC practices in Hazlet, NJ. The NPI Number for Kidney Life, LLC is 1700815487 and holds a License No. 41302 (NJ). The current practice location address for Kidney Life, LLC is 3053 State Route 35, Hazlet, NJ 07730-1526 and can be reached out via phone at 732-203-0321 and via fax at 732-203-0279.
Provider Profile Details
- NPI Number
- 1700815487
- Provider Name
- Kidney Life, LLC
- Provider Entity Type
- Organization
- Address
- 3053 State Route 35, Hazlet, NJ 07730-1526
- Phone Number
- 732-203-0321
- Fax Number
- 732-203-0279
- 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
- Holmdel Dialysis (Doing Business As)
- Provider Enumeration Date
- July 3, 2006
- Last Update Date
- November 5, 2026
- Certification Date
- November 5, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3053 State Route 35
Hazlet, NJ 07730-1526 - City
- Hazlet
- State
- New Jersey
- Zip
- 07730-1526
- Phone Number
- 732-203-0321
- Fax Number
- 732-203-0279
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
- 41302
- 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 Hazlet, NJ
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Frequently Asked Questions
What is the NPI number of Kidney Life, LLC?
The NPI number of Kidney Life, LLC is 1700815487. 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), licensed in NJ under license number 41302.
Where does Kidney Life, LLC practice?
The practice location is 3053 State Route 35, Hazlet, NJ 07730-1526. The office can be reached at 732-203-0321 (phone) or 732-203-0279 (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 1700815487 directly on the NPPES registry website.